| Title | Hysteroscopic treatment of intrauterine adhesions is safe and effective in the restoration of normal menstruation and fertility. | | Author(s) | Pabuçcu R, Atay V, Orhon E, Urman B, Ergün A | | Institution | Department of Obstetrics and Gynecology, Gülhane School of Medicine, Ankara, Turkey. | | Source | Fertil Steril 1997 Dec; 68(6):1141-3. | | MeSH | Adhesions
Adult
Female
Fertility
Humans
Hysteroscopy
Infertility, Female
Menstruation
Pregnancy
Retrospective Studies
Treatment Outcome
Uterine Diseases
| | Abstract | OBJECTIVE: To assess the safety and efficacy of hysteroscopic adhesiolysis in patients with recurrent pregnancy loss and infertility.
DESIGN: Retrospective case report series.
SETTING: The obstetrics and gynecology clinic of a medical school. PATIENT(S): Forty women with recurrent pregnancy loss or infertility resulting from intrauterine adhesions. INTERVENTION(S): Hysteroscopic adhesiolysis in patients with recurrent pregnancy loss and infertility.
MAIN OUTCOME MEASURE(S): Postoperative adhesion formation, intraoperative complication, conceivement after surgery, pregnancy rate, and pregnancies resulted in term or viable preterm infants.
RESULT(S): Most patients with minimal or moderate adhesions were free of adhesions when compared with postoperative control subjects. However, adhesion re-formation was noted in 60% of the patients who initially had severe adhesions. Normal menstrual flow was restored in 81% of the patients. All the patients who had recurrent pregnancy loss conceived after treatment, and 71% of the pregnancies resulted in a term or viable preterm infant. Of the 16 infertile patients treated, 10 (63%) conceived and 6 (37%) were delivered of viable infants.
CONCLUSION(S): Hysteroscopic adhesiolysis is a safe and effective procedure for restoring the normal menstrual pattern and fertility. The initial severity of the adhesions appears to correlate best with the reproductive outcome. | | Language | eng | | Pub Type(s) | Journal Article
| | PubMed ID | 9418714 |
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