IMR Press / CEOG / Volume 41 / Issue 2 / DOI: 10.12891/ceog17302014

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 46 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Original Research
Clinical characteristics and reproductive outcome following hysteroscopic adhesiolysis of patients with intrauterine adhesion - a retrospective study
Show Less
1 Department of Minimally Invasive Gynecology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing
2 Department of Obstetrics and Gynecology, Beijing Youan Hospital, Capital Medical University, Beijing (China)
Clin. Exp. Obstet. Gynecol. 2014, 41(2), 144–148; https://doi.org/10.12891/ceog17302014
Published: 10 April 2014
Abstract

The authors performed a retrospective clinical analysis of 153 patients with intrauterine ashesion (IUA) who underwent hysteroscopic adhesiolysis. A follow-up office hysteroscopy was performed in all cases after three months. On follow-up hysteroscopy, 22 patients showed reformation of adhesions and required a repeat procedure. The primary risk factor for IUA was uterine curettage associated with pregnancy termination. The follow-up study revealed that the rate of pregnancy after IUA treatment was 51%. The conception rate in women who had reformation of IUA was significantly lower than that of women who had a normal cavity following adhesiolysis. Therefore the authors conclude that prevention is more important than therapy in IUA. Increasing education about avoiding curettage is necessary to reduce the incidence of IUA. Outreach is particularly important for older women with less education. However, hysteroscopic adhesiolysis for IUA is a safe and effective method of choice for restoring menstrual function and fertility.
Keywords
Intrauterine adhesion
Hysteroscopic adhesiolysis
Reproductive outcome
Adhesion prevention
Share
Back to top