Intrauterine adhesions: What is the pregnancy rate after hysteroscopic management?

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.