Intrauterine adhesions: What is the pregnancy rate after hysteroscopic management? - 20/05/20
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Abstract |
Objective |
To evaluate the rate of pregnancy following hysteroscopic management of intrauterine adhesions.
Design |
Retrospective study.
Setting |
From June 2009 to December 2014 in a teaching hospital.
Patients |
Women treated by operative hysteroscopy for intrauterine adhesions.
Intervention |
Operative hysteroscopy to manage intrauterine adhesions.
Main outcome measure: rate of intrauterine pregnancy after hysteroscopic management of intrauterine adhesions.
Results |
Out of the 202 women whom benefit from hysteroscopic adhesiolysis, 112(55%) had an effective pregnancy desire. Among them, an intrauterine pregnancy was obtained for 58 women (52%) with a trend to a lower rate for type IV and Vb intrauterine adhesions management (40.5%, p = 0.09). Pregnancy rates were similar for women undergoing one or more procedures.
Conclusion |
Hysteroscopic management of intrauterine adhesions seems useful as it leads to a pregnancy rate of 52%. However, this rate is lower in case of type IV and Vb intrauterine adhesions. Repeated procedures don’t seem to lead to less pregnancy; however, a more powerful prospective study should be performed to answer this specific question.
Le texte complet de cet article est disponible en PDF.Keywords : Intrauterine adhesions, Operative hysteroscopy, Fertility
Plan
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