ZENG Hua, et al. The clinical features of patients with amenorrhea after induced abortion[J]. Journal of Chongqing Medical University, 2011,36(1):119-120.
ZENG Hua, et al. The clinical features of patients with amenorrhea after induced abortion[J]. Journal of Chongqing Medical University, 2011,36(1):119-120. DOI: 10.13406/j.cnki.cyxb.2011.01.021.
Objective:To analyze the clinical characteristics of patients with amenorrhea after induced abortion.Methods:The patients with amenorrhea after induced abortion in our hospital of the past 5 years were analyzed retrospectively.Some characteristics of the patients were recorded
including sex hormone level
results of hysteroscopy
diagnostic curettage pathological Results
as well as prognosis.Results:A total of 37 patients(1.4%) suffered amenorrhea 2 to 16 months after induced abortion
which sustained for 2 to 5 months.The occurrence of amenorrhea was positively related to the frequency of induced abortion(χ2 = 13.440
P = 0.001)
but had nothing to do with delivery(χ2 = 0.037
P = 0.847).Sex hormone level revealed premature ovarian failure or hypothalamic amenorrhea dysfunction in 8 patients(21.6%).Hysteroscopic examination revealed 11 patients had cervical adhesions(29.7%)
and 18 patients had intrauterine adhesions(48.6%).Inflammatory cells accounted for 64.0% in all scrapings.After active treatment
35 patients resumed menstrual cycle
but the other two patients found it ineffective.Conclusion:The induced abortion may lead to complication like postoperative amenorrhea.Cervical or uterine adhesions
and abnormal sex hormones are the main reasons for amenorrhea
and inflammatory response may also play a role in it.Postoperative amenorrhea may have a good prognosis after treatment.