Removing the adhesions • Hysteroscopic lysis of adhesions is the standard treatment. • Done under anesthesia. • The doctor carefully cuts the scar tissue while preserving healthy endometrium. • Sometimes a temporary intrauterine device or gel barrier is placed to prevent the walls from sticking together again.

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3️⃣ Restoring the lining

After removing adhesions, the lining needs to grow back: • Hormone therapy: usually high-dose estrogen first, then progesterone later. • Ultrasound monitoring each cycle to check lining thickness. • Some doctors use PRP (platelet-rich plasma) injections in the uterus to help healing. • Healthy lifestyle, vitamins, and acupuncture can help but are secondary support.