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What is Uterine Scarring. Intrauterine adhesions, also known as synechiae or scar tissue, are bands of fibrous scar tissue that form within the uterus. Scar tissue affects the functional lining of the uterus and can be a reason for infertility. Your uterus has three layers: an outer layer (serosa), a middle muscular layer (myometrium), and an inner layer (endometrium). The inner layer contains the lining that sheds once a month with a womanâs menses.
Some women notice that painful periods disappear after having their first child. This could be due to the stretching of the opening of the uterus or the fact that birth improves the uterine blood supply and muscle activity. Secondary dysmenorrhea is defined as menstrual pain due to pelvic pathology. This condition usually occurs after a woman has had normal menstrual periods for some time. It differs from primary dysmenorrheal in that the pain is caused by an abnormality or disease of the uterus, tubes, or ovaries. The most common causes are: 1  pelvic inflammatory disease. 2  fibroids (intracavitary or intramural) 3  intrauterine contraceptive devices. 4  endometriosis. 5  inflammation and scarring(adhesions) 6  functional ovarian cysts. 7  benign or malignant tumors of ovary, bowel or bladder, or other site. 8  inflammatory bowel disease.