Understanding Isthmocele: Answers to Common Questions of Centreville Women
If you’ve had a prior Cesarean section and are experiencing unusual symptoms like abnormal bleeding, pelvic pain, or fertility issues, you may be dealing with a condition called isthmocele. At Reston OBGYN, we help women in Centreville, Virginia, better understand their reproductive health and offer expert treatment solutions. Below, we answer the most common questions patients have about isthmocele and what to expect from diagnosis to recovery.
What is an isthmocele, and how does it form?
An isthmocele, also known as a cesarean scar defect or niche, is a small pocket or indentation that can develop in the uterine wall at the site of a previous Cesarean section. It occurs when the incision made during the C-section doesn’t heal properly, creating a thin or weakened area in the uterus. This defect can trap menstrual blood, cause discomfort, and sometimes lead to fertility problems.
What are the symptoms of an isthmocele?
Not all women with an isthmocele experience symptoms, but many report:
- Postmenstrual spotting
- Chronic pelvic pain or pressure
- Pain during intercourse
- Infertility or difficulty conceiving.
- A feeling of incomplete menstrual flow
- If you’re experiencing any of these issues after a Cesarean delivery, it’s important to seek evaluation from a women’s health specialist familiar with the condition.
How is an isthmocele diagnosed in Centreville, Virginia?
At Reston OBGYN, we use advanced imaging technology to accurately diagnose isthmocele. A transvaginal ultrasound—often performed with saline infusion (sonohysterography)—is the most common and effective diagnostic tool. In some cases, an MRI or hysteroscopy may also be used for a more detailed view of the uterine wall and scar tissue. Our Centreville-based providers take a thorough approach to ensure an accurate diagnosis and personalized care.
What treatment options are available for isthmocele?
The best treatment for isthmocele depends on your symptoms, reproductive goals, and the size of the defect. Options may include:
- Hysteroscopic surgery to remove the scar tissue and restore the uterine lining
- Laparoscopic repair for larger or deeper defects
- Medical management if symptoms are mild and fertility is not a concern
Our team at Reston OBGYN will help determine the most appropriate path forward based on your health needs.
How long is the recovery time after isthmocele repair surgery?
Recovery time varies depending on the type of surgical repair performed. Most patients who undergo hysteroscopic surgery can resume light activities within a few days and return to normal routines within a week. For laparoscopic procedures, recovery may take 2-3 weeks. During your consultation, we’ll walk you through the entire post-operative care plan to ensure a smooth recovery.
Concerned you might have an isthmocele? We’re here to help.
At Reston OBGYN, we’re proud to offer compassionate, expert care for women across Centreville, Virginia, and surrounding areas. If you’re struggling with unexplained pelvic pain, irregular bleeding, or fertility challenges after a C-section, give us a call at (703) 348-9774 to schedule a consultation. Early evaluation can lead to effective treatment—and peace of mind.
