Uterine Niche (Cesarean Scar Defect)
A uterine niche is a defect or tear in the uterus at the site of a previous cesarean section scar. It results from improper healing of the surgical wound, and mucous fluid may accumulate in the area. In severe cases, it can lead to uterine rupture during a subsequent pregnancy.
Symptoms and Complications:
Pregnancy and Childbirth-Related Issues
- Delayed conception
- Impaired movement of sperm during fertilization
- Ectopic pregnancy in the niche, which may cause recurrent miscarriages
- Uterine rupture during pregnancy
Gynecological Issues
- Delayed menstrual cycle
- Severe menstrual pain
- Heavy menstrual bleeding
- Vaginal discharge
- Pain during sexual intercourse
- Postcoital bleeding (bleeding after intercourse)