Cesarean Scar Syndrome Quiz
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Have irregular vaginal bleeding
Missed period
Long periods
Bleeding between periods
Spotting
Period not stopping
Bloody vaginal discharge
Not seeing your symptoms? No worries!
What is Cesarean Scar Syndrome?
This complication occurs in women who have had a cesarean section and the muscle layer of the uterus fails to heal properly in that area. Another name for this condition is cesarean scar defect or uterine niche. It can in some cases cause abnormal vaginal bleeding, pain, and infertility.
Typical Symptoms of Cesarean Scar Syndrome
- Vaginal bleeding or discolored discharge outside of your period
- Periods that last more than 8 days
- Unusual changes in period
- Increased vaginal discharge that is smelly
- History of previous Cesarean section
- Stomach or abdominal pain triggered by bowel movements
- Pain in the pelvis
- Difficulty getting pregnant
Diagnostic Questions for Cesarean Scar Syndrome
Your doctor may ask these questions to check for this disease:
- Have you experienced any vaginal bleeding or unusual discharge outside of your period?
- Do your periods last more than 8 days?
- Have you noticed any unusual changes in your period?
- Has the vaginal discharge odor worsened recently?
- Have you ever had a Cesarean delivery?
Treatment of Cesarean Scar Syndrome
Treatment isn't always necessary, but depending on your symptoms a specialist may recommend medication or surgery.
Reviewed By:
Ravi P. Chokshi, MD (Obstetrics and Gynecology (OBGYN), Critical Care)
Current Maternal Fetal Medicine Fellow with Dual board certification in Obstetrics & Gynecology and Critical Care Medicine. | 5+ years experience managing a general Ob/Gyn practice and working in the Intensive Care Unit. | Previously Physician Lead of a large single specialty practice with 8 Physicians and 10+ Advanced practitioners. | Member of the Society of Maternal Fetal Medicine Patient education committee. | Frequent Medscape Consult contributor.
Seiji Kanazawa, MD, PHD (Obstetrics and Gynecology (OBGYN))
Dr. Kanazawa graduated from the Niigata University Faculty of Medicine and received his Ph.D. from the Tohoku University Graduate School of Medicine. He is working on the front line of the General Perinatal Center, including the Tokyo Tama General Medical Center and the National Center for Research in Fertility Medicine, where he provides maternal and fetal care and undertakes clinical research. At Ubie, Dr. Kanazawa has been designing the Ubie AI Symptom Checker and has taken on the role of general obstetrics and gynecology consultation at FMC Tokyo Clinic by providing fetal ultrasound and prenatal consultation.
Content updated on Mar 31, 2024
Following the Medical Content Editorial Policy
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People with similar symptoms also use Ubie's symptom checker to find possible causes
- Bleeding after menopause
- Smelly vaginal discharge
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- Brown spotting between periods
- Heavy periods
- Bleeding after period ends
- Bleeding 2 weeks after period
- Vaginal discharge odor
- There is a large amount of vaginal discharge with bad smell
- Increased bleeding during periods
- Excessive amount of vaginal discharge
- Irregular period
- Decreased period bleed
- Lighter periods
- Menstruation is very short
See full list
Symptoms Related to Cesarean Scar Syndrome
Diseases Related to Cesarean Scar Syndrome
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1References
Dosedla E, Calda P. Outcomes of Laparoscopic Treatment in Women with Cesarean Scar Syndrome. Med Sci Monit. 2017 Aug 22;23:4061-4066. doi: 10.12659/msm.902720. PMID: 28829760; PMCID: PMC5576479.
https://medscimonit.com/abstract/index/idArt/902720Higuchi A, Tsuji S, Nobuta Y, Nakamura A, Katsura D, Amano T, Kimura F, Tanimura S, Murakami T. Histopathological evaluation of cesarean scar defect in women with cesarean scar syndrome. Reprod Med Biol. 2021 Dec 21;21(1):e12431. doi: 10.1002/rmb2.12431. PMID: 35386374; PMCID: PMC8967299.
https://onlinelibrary.wiley.com/doi/10.1002/rmb2.12431JAMA Definition and Criteria for Diagnosing Cesarean Scar Disorder
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10061236/