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Treatment for perforation in uterus - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Good Posted in: Women's Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2407 Questions

User :   will a perferated uterus cased by a D&C heal? There are two perforations? Can I get pregnant? How do I fix this situation?
Doctor :   Hi
Doctor :  
How can i help you?
User :   hi
User :   my girlfriend had a a miscarriage
User :   she had two D&C's done
User :   and on the second one she was bleeding a few days after. she went to the obgyn today
Doctor :  
User :   and they said she has two perforations on her uterus
User :   and there might be some scarring
Doctor :  
Doctor :  
May i know the age of your friend?
User :   can this heal? what does she have to do? can she stil get pregnant?
User :   28
User :   please help
User :   she is afraid she will be infertile
Doctor :  
It depends on the amount of scarring, the location of the scar.
User :   so what do they do?
User :   can it be fixed?
Doctor :   They have to be surgically treated.
User :   I have read the uterus can heal on its own too
User :   and then what?
User :   will it be ok?
User :   will asherman's syndrome develope?
Doctor :  
Yes, when treated early should be OK, unless the scars are many and causinfg obstruction.
User :   no there are only two perforations
User :   and they know about it right away
Doctor :  
Usually there are no complications when treated early.
User :   you mean she can get pregnant
User :   and it won
User :   wont cause a problem?
Doctor :   The most common complication is infertility when not treated.
User :   well she will get it treated
Doctor :  
They can also get infected if not treated.
User :   no she is getting it treated seeing a doctor regularly for help
Doctor :  
Hence it is advisable to get the treatment done.
User :   and how successful is it?
User :   all they know now is that there are two perforations, they dont know yet anything else, there is some light scarring
User :   so what do u think
Doctor :  
Sarring at the region of the tubal part of the uterus have to treated with the excission of the tubes.
User :   what does that mean?
Doctor :  
similarly the location of the scars are important
User :   I dont understand
User :   so what will happen
Doctor :   For knowing the treatment options.
User :   look
User :   here is what I know
User :   two perforations after a D&C
User :   in the uterus
User :   light scarring and its possible that asherman's syndrome could occur
User :   the question is what now and will this cause definite infertility ?
Doctor :  
There are four parts of the uterus, the tubal part, fundus, body and cervix.
User :   ok
User :   and?
Doctor :  
The location the scar are important to know the treatment.
User :   can you explain each issue for it?
User :   for each area?
User :   can it be treated in all areas?
Doctor :  
If the scarrring is light and not at the tubes, they may heal on itself.
Doctor :   Yes.
User :   ok
User :   right now its light
User :   scarring
Doctor :  
They can be treated.
User :   what if its light scarring at the tubes?
User :   or fundus or body
User :   or cervix
Doctor :  
Yes they also can heal on it self.
User :   so light scarring on any part of the four parts of the uterus can heal?
Doctor :  
If preganncy can be avoided till that time.
User :   yes of course
User :   there will be no intercourse
Doctor :   Advise her to use a method of contraception for avoiding pregnancy.
User :   abstinence
User :   look there will be no intercourse
User :   so can light scarring on any part of the four parts of the uterus heal?
Doctor :  
She has to use them atleast for 6months to an year.
User :   ok
Doctor :  
Yes they can heal if the scarring is light.
User :   heal on their own?
User :   or with surgery?
User :   and can she still get pregnant ?
Doctor :  
After about 6 months if the scars remain then surgical removal of the scars is needed.
User :   please I need u to be very clear
User :   can u explain to me what the situation is, what will happen, and what to do
User :   given the information I give u
Doctor :  
Yes when the scars get healed there are possibilities of positive prefgnancy.
User :   2 perforations, light scarring, and possible onset of ashermans
User :   but so first u see if it heals on its own
User :   ?
Doctor :  
I shall brief you once again.
User :   ok
User :   please
Doctor :   The scars in the uterus usully result in obstruction,leading to infertility or abnormal pregnancy.
Doctor :  
The treatment options depend on the type of scar and the location of the scars.
Doctor :  
Are you following?
User :   yes
Doctor :  
Mild scars if left alone that includes no vaginal sexual acts and pregnancy can heal on its own
Doctor :  
in approximately 6 monts.
Doctor :  
But heavy scars are to be surgically removed.
Doctor :  
Ashermans syndrome are usually the results of heavy scars and can cause complete infertility.
Doctor :  
The hystercopy is repeated after 6 months and if the scars have not healed then
Doctor :  
they have to be treated surgically.
Doctor :  
Have you followed?
User :   yes
Doctor :   So avoid pregnancy and vaginal sex as they can lead to abnormal pregnancy and infection.
User :   for 6 months
Doctor :  
Is there any other query?
Doctor :  
Yes minimum of 3 to 6 months.
User :   so you think that light scarring will probably heal on its own?
Doctor :   Light scars can heal on its own.
Doctor :   so the treatment options depend on the feature of the present scar.
User :   right now its light
Doctor :   Yes then you can wait for 3 to 6 months with the above measures.

Doctor :  
Is there any other query?

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