Treatment of minimal and moderate intrauterine adhesions (Asherman's syndrome)
Ismajovich, B.; Lidor, A.; Confino, E.; David, M.P.
Journal of Reproductive Medicine 30(10): 769-772
1985
ISSN/ISBN: 0024-7758 PMID: 4067948 Document Number: 264031
Fifty-one women with only minimal and moderate intrauterine adhesions (Asherman's syndrome) underwent dilatation of the cervix, lysis of adhesions and insertion of intrauterine contraceptive devices (IUDs). A pregnancy rate of 90% was achieved. In 85% of the pregnancies a viable infant was delivered, and 15% terminated in abortions. No complications of pregnancy or of the third stage of labor were noted. The most common procedure preceding the appearance of intrauterine adhesions was curettage for spontaneous abortion and less frequently for missed and induced abortions. It seems that in mild and moderate Asherman's syndrome, lysis of adhesions and IUD insertion without estrogen administration yield satisfactory results.