How big should a uterine diverticulum be before it becomes serious?

Whether a uterine diverticulum is serious or not mainly depends on the size of the diverticulum, symptoms and risk of complications. Diverticula are usually not serious when their diameter is less than 3 cm and they are asymptomatic.

When the diameter of the diverticula is within the range of 1-3 cm and there are no symptoms such as abnormal bleeding or abdominal pain, most of them are physiological changes, which may be related to childbirth injury or abnormal uterine contraction. This type of diverticulum usually does not require special treatment, and it is recommended to review the ultrasound every 6-12 months to monitor changes. If menstruation is accompanied by inexhaustible bleeding, you can follow your doctor's advice and use short-acting contraceptive pills such as drospirenone and ethinylestradiol tablets to adjust the cycle, or tranexamic acid tablets to control bleeding.

When the diverticulum exceeds 3 cm or there are recurrent infections, infertility, etc., intervention such as hysteroscopic diverticular repair may be required. People with diverticular myometrium thickness less than 5 mm are prone to uterine rupture, and it is recommended to give priority treatment before pregnancy. Patients with secondary anemia need to be treated with iron supplements such as ferrous succinate tablets and checked for underlying diseases such as coagulation disorders.

It is necessary to avoid strenuous exercise that increases abdominal pressure in daily life, and you can use a hot water bottle to relieve discomfort during menstruation. Keep the perineum clean and seek medical advice promptly if fever or bleeding occurs. Pay attention to supplementing the diet with animal liver, spinach and other iron-rich foods. During the recovery period after surgery, sexual intercourse should be abstinent for 2-3 months, and the healing status should be reviewed regularly.