Dense adhesion between rectum and uterus

Question #14779

154 days ago

286

Dense adhesion between rectum and uterus - #14779

Ratna

My wife have normal hormonal balanced but she going though primary amenorrhea . is there any modern treatment that cure the dense adhesion without any risk. She is 30 year old . In past she completed her tuberculosis medicin as suggested by doctor in suspect . She do all test of tb but not detected tb

Age: 32

Chronic illnesses: No

Adhesolysis

300 INR (~3.53 USD)

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

154 days ago

Hello dear
See after careful evaluation it seems ahesiolysis can be performed in your case for removing thick adhesive lining.
I suggest you to please get below tests done for confirmation
Pelvic USG
Ct scan
Mri
Urine analysis
Afb stain
Hsg
Usually the procedure is performed by gynecologist or laproscopic surgeon
So I suggest you to please consult gynaecologist or laproscopic surgeon in person for better clarity
Regards

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Dr. Arsha K Isac

I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.

154 days ago

Hello Ratna,
Yes,Dense adhesions between the uterus and rectum can come from old infection or inflammation.
And they can cause amenorrhea and infertility.
🛑Don’t worry, she can undergo laparoscopic adhesiolysis.
For this you have to consult a gynaecologist(laparoscopic gynec surgeon ) or infertility specialist.
They will guide you feasibility of this surgery.
These investigations you have to do:
Hormonal profile
Thyroid profile
Cbc
Pelvis USG
I hope this helps
Thank you

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Dr. Nirav Jain

I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.

154 days ago

Hello Ratna, I understand how concerning this must feel for you and your wife. Your issues might be due to infection, PID, etc. To reach to the root cause of your problem, I recommend you these tests-
Pelvic MRI, Hysterosalpingography, Hormonal Profile (FSH, LH, AMH, TSH, prolactin, estradiol).
Also, kindly consult a Gynecologist specialized in reproductive medicine or hysteroscopic surgery (also called Reproductive Endocrinologist) for the possible treatment options according to your wife’s condition.
Feel free to reach out again.
Regards,
Dr. Nirav Jain
MBBS, DNB D.Fam.Med

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Dr. Prasannajeet Singh Shekhawat

I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.

154 days ago

Hello Ratna
By going through your history and evaluation of your health status i must say that the dense adhesions between the rectum and uterus can sometimes be a result of previous infections, surgeries, or conditions like endometriosis.
With your history of tuberculosis treatment, it’s good to hear that you has normal hormonal balance, but primary amenorrhea can be concerning.
For treating dense adhesions, the most common approach is surgical intervention, often through a procedure called laparoscopy. This minimally invasive surgery can help to separate the adhesions and restore normal anatomy .
As by concerning about your age and future pregnancy related concern I am suggesting you to visit a gynecologist for better evaluation and treatment.
Thank you

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Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

154 days ago

Please evaluate for intrauterine adhesions and proceed with hysteroscopic adhesiolysis + postoperative estrogen therapy and cavity stent placement. Assess for any residual genital TB.

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

152 days ago

Primary amenorrhea can be a complex issue, especially if caused by dense adhesions between the uterus and rectum. This condition, often associated with pelvic adhesions or fibrosis, can sometimes result from previous pelvic infections, surgeries, or inflammatory conditions. Given that your wife has a normal hormonal balance, it seems the underlying issue is likely structural. One of the modern treatment options for dense adhesions is minimally invasive surgery, such as laparoscopy, which allows doctors to cut and remove these adhesions safely. Laparoscopy has become a common approach due to its reduced risks compared to open surgery, faster recovery times, and lower postoperative pain. However, even with advanced techniques, surgery always carries potential risks like infection, bleeding, or recurrence of adhesions. Pre-surgical imaging, such as MRI or pelvic ultrasound, can help map the extent of adhesion and guide the surgical approach. It’s crucial to have a comprehensive evaluation from a gynecologist specialized in reproductive health and possibly a colorectal specialist depending on the adhesion’s severity. Considering her age and past medical history with tuberculosis suspicion, all details should be transparently shared with the surgical team to tailor treatment for her needs. Furthermore, addressing post-surgical prevention of adhesion recurrence may also involve medications or physical therapy, which should be part of the consultation. Although there’s no such thing as a “risk-free” surgery, careful preoperative planning, experienced surgeons, and a clear understanding of the procedure can significantly minimize risks, enhancing the chances of a successful outcome.

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Dr. Alan Reji

I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.

152 days ago

Dense adhesions inside the uterus causing primary amenorrhea are usually due to Asherman’s syndrome, and the most effective modern treatment is hysteroscopic adhesiolysis, where the adhesions are gently removed using a camera-guided procedure. Success depends on how severe the scarring is, and treatment is often followed by estrogen therapy and sometimes a uterine balloon to prevent the adhesions from reforming. Please consult an Infertility Specialist / Reproductive Endocrinologist experienced in hysteroscopic surgery to evaluate the severity and discuss the safest treatment plan.

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