Scar Tissue & Adenomyosis
If you have been unable to conceive, conditions inside your uterus, such as having scar tissue or adenomyosis, may be affecting your fertility. These conditions make it difficult for an embryo to implant, causing fertilized eggs to be lost.
Uterine Scar Tissue
Also referred to as intrauterine adhesions, scar tissue on the endometrial lining of your uterus may occur due to injury or infection. The scarring can be mild with thin stretchy bands of scar tissue or more severe with thick bands. Severe scarring can cause complete destruction of the inside of the uterus. Many women don’t know they have uterine scarring until they have trouble conceiving.
What causes intrauterine adhesions?
The most common cause of uterine scarring is a previous uterine surgery. You may have scarring due to a dilation and curettage (D&C), surgical removal of fibroids, cesarean sections, or endometrial ablation.
Less commonly, infection of the endometrial uterine lining can cause scarring.
Treating Scar Tissue
Hysteroscopy is a surgical procedure used to remove scar tissue from your uterus. Following the surgery, a balloon catheter will be placed inside your uterus temporarily to keep the uterine walls from touching in order to prevent further scar tissue from forming. Medication may also be prescribed to prevent new scar tissue.
What is Adenomyosis?
Adenomyosis is a condition in which endometrial tissue inside the uterus grows into the muscle wall of the uterus. It is most common in middle-aged women and women with children.
Types of Adenomyosis
Adenomyosis can present in three different ways: focal adenomyosis, a focal adenomyoma and diffuse adenomyosis.
Focal adenomyosis is in one particular spot of the uterus.
Adenomyoma is a form of focal adenomyosis, but it results in a larger uterine mass or benign tumor.
Diffuse adenomyosis is spread throughout the uterus.