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Clinical characteristics and reproductive outcome following hysteroscopic adhesiolysis of patients with intrauterine adhesion--a retrospective study.
Clin Exp Obstet Gynecol. 2014; 41(2):144-8.CE

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.

Authors

Liu X
No affiliation info available
Duan H
No affiliation info available
Wang Y
No affiliation info available

MeSH

AdultDilatation and CurettageEducational StatusFemaleHumansHysteroscopyInfertility, FemaleMenstruation DisturbancesPregnancyPregnancy RateRetrospective StudiesTissue AdhesionsUterine DiseasesYoung Adult

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24779239

Citation

Liu, Xin, et al. "Clinical Characteristics and Reproductive Outcome Following Hysteroscopic Adhesiolysis of Patients With Intrauterine Adhesion--a Retrospective Study." Clinical and Experimental Obstetrics & Gynecology, vol. 41, no. 2, 2014, pp. 144-8.
Liu X, Duan H, Wang Y. Clinical characteristics and reproductive outcome following hysteroscopic adhesiolysis of patients with intrauterine adhesion--a retrospective study. Clin Exp Obstet Gynecol. 2014;41(2):144-8.
Liu, X., Duan, H., & Wang, Y. (2014). Clinical characteristics and reproductive outcome following hysteroscopic adhesiolysis of patients with intrauterine adhesion--a retrospective study. Clinical and Experimental Obstetrics & Gynecology, 41(2), 144-8.
Liu X, Duan H, Wang Y. Clinical Characteristics and Reproductive Outcome Following Hysteroscopic Adhesiolysis of Patients With Intrauterine Adhesion--a Retrospective Study. Clin Exp Obstet Gynecol. 2014;41(2):144-8. PubMed PMID: 24779239.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Clinical characteristics and reproductive outcome following hysteroscopic adhesiolysis of patients with intrauterine adhesion--a retrospective study. AU - Liu,Xin, AU - Duan,Hua, AU - Wang,Yongjun, PY - 2014/5/1/entrez PY - 2014/5/2/pubmed PY - 2014/5/21/medline SP - 144 EP - 8 JF - Clinical and experimental obstetrics & gynecology JO - Clin Exp Obstet Gynecol VL - 41 IS - 2 N2 - 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. SN - 0390-6663 UR - https://www.unboundmedicine.com/medline/citation/24779239/Clinical_characteristics_and_reproductive_outcome_following_hysteroscopic_adhesiolysis_of_patients_with_intrauterine_adhesion__a_retrospective_study_ L2 - https://medlineplus.gov/adhesions.html DB - PRIME DP - Unbound Medicine ER -