Cesarean Scar Syndrome Quiz

Check your symptoms and
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Reviewed By:

Ravi P. Chokshi, MD

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

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.

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With an easy 3-min questionnaire, Ubie's AI-powered system will generate a free report on possible causes.

  • Trained and reviewed by 50+ doctors, our AI Symptom Checker utilizes data from 1,500+ medical centers

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  • Cesarean Scar Syndrome as well as similar diseases can be checked at the same time.

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People with similar symptoms also use Ubie's symptom checker to find possible causes

  • Smelly vaginal discharge

  • Intermenstrual bleeding

  • Bleeding after menopause

  • Vaginal bleeding after menopause

  • Vaginal discharge odor

  • Heavy periods

  • There is a large amount of vaginal discharge with bad smell

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Learn more about Cesarean Scar Syndrome

Content updated on Jan 19, 2024

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.

Symptoms of cesarean scar syndrome

  • Bleeding in between menstrual cycles / periods or after menopause

  • Periods last more than 8 days

  • Increased vaginal discharge that is smelly

  • Abnormal period length or flow

  • History of previous Cesarean section

  • Lower abdomen/tummy pain when passing stool

  • Pain in the pelvis- the lowest part of the abdomen, between the belly button and groin

  • Excessively heavy periods

Questions your doctor may ask to check for cesarean scar syndrome

  • Have you experienced vaginal bleeding or discharge outside of your periods or after menopause?

  • Does your period last longer than 8 days?

  • Has the vaginal discharge odor worsened recently?

  • Have your periods become longer or heavier than usual?

  • Have you ever had a Cesarean delivery?

Treatment for cesarean scar syndrome

Treatment isn't always necessary, but depending on your symptoms a specialist may recommend medication or surgery.

View the symptoms of Cesarean Scar Syndrome

References

  • 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/902720

  • Higuchi 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/rmb2.12431

  • JAMA Definition and Criteria for Diagnosing Cesarean Scar Disorder

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10061236/

User testimonials

Reviewed By:

Ravi P. Chokshi, MD

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

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.

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