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

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Capmas, Perrine | Mihalache, Andreï | Duminil, Laura | Hor, Lat Soriya | Pourcelot, Anne Gaëlle | Fernandez, H.

Edité par CCSD ; Elsevier -

International audience. 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.

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