Intrauterine adhesions: hysteroscopic diagnosis, classification, treatment, and reproductive outcome. American journal of obstetrics and gynecology. [Am J Obstet Gynecol] Journal article

Title	Intrauterine adhesions: hysteroscopic diagnosis, classification, treatment, and reproductive outcome.
Author(s)	Valle RF, Sciarra JJ
Institution	Department of Obstetrics and Gynecology, Northwestern University Medical School, Chicago, IL.
Source	Am J Obstet Gynecol 1988 Jun; 158(6 Pt 1):1459-70.
MeSH	Abortion, Spontaneous Adhesions Adult Endoscopes Endoscopy Female Follow-Up Studies Humans Menstruation Disturbances Methylene Blue Postoperative Complications Pregnancy Pregnancy, Ectopic Recurrence Uterus
Abstract	One hundred eighty-seven patients were evaluated and treated by hysteroscopy over a 10-year period. To assess therapeutic prognosis, these patients were classified according to the extent of uterine cavity occlusion seen on hysterosalpingography and the type of intrauterine adhesions observed at hysteroscopy. Forty-three patients had mild or filmy intrauterine adhesions, 97 had moderate or fibromuscular adhesions, and 47 patients were classified as having severe connective tissue adhesions. After hysteroscopic treatment, normal menstruation was restored in 88.2% of patients who had menstrual abnormalities including amenorrhea, hypomenorrhea, and dysmenorrhea. Among the 187 patients, 143 women achieved pregnancy; of those, 114 (79.7%) achieved a term pregnancy, 26 (18.2%) had a spontaneous abortion, and 3 (2.1%) had ectopic pregnancies. The reproductive outcome correlated with the type of adhesions and extent of uterine cavity occlusion, ranging from a term pregnancy rate of 81.3% in patients with mild disease to 31.9% in patients with severe disease.
Language	eng
Pub Type(s)	Journal Article
PubMed ID	3381869

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