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Women in the menstrual endometrium functional layer off, then start from the basal layer hyperplasia, repair. If the basal layer is damaged, lost endometrial repair capacity. At this point, even if normal ovarian function, it will not menstruating. If the flow of surgery for endometrial damage the basal layer, it is very likely to cause amenorrhea. As the uterine endometrial cavity is not covered, anterior and posterior wall adhesions may occur. Basal area of endometrial damage under different clinical manifestations vary. Such as the basal layer completely injury, anterior and posterior wall of uterine cavity adhesion completely, patients can complete amenorrhea; if there is still part of the basal layer, showing reduced menstruation; such as intrauterine adhesions sites near the cervix, while the adhesion is still more than healthy intima, may be due to blood flow is blocked and the occurrence of menstrual pain, menstrual blood dripping dirty, even uterine hemorrhage; such as endometrial intact and the only injury Cervical endometrium, resulting in Cervical adhesions may occur more serious cycle of lower abdominal pain, no menstrual cramps. Damage caused by the basal layer of endometrium due to, among artificial abortion, the postpartum dilatation and curettage also cause intrauterine adhesions. Severe purulent endometritis, tuberculous endometritis can also result in the basal layer of the destruction of endometrial amenorrhea. After the destruction of endometrial basal layer although no menstruation, but normal ovarian function, such as no other symptoms, there is no requirement of procreation, from time to treatment. Tuberculous or purulent endometritis to treat their primary disease, but the disease after treatment of endometrial can not repair itself, the patient still showed amenorrhea. 2010-04-13
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