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Is diagnostic hysteroscopy adhesiogenic?
D Fedorkow1, H A Pattinson, P J Taylor
1University of Calgary Infertility Clinic, Alberta, Canada.
International Journal of Fertility
|January 1, 1991
Summary
Diagnostic hysteroscopy is generally safe and does not significantly increase the risk of intrauterine adhesions (scar tissue). This study found a very low incidence of new adhesions after the procedure in women without prior adhesions.
Area of Science:
- Reproductive Medicine
- Gynecologic Surgery
Background:
- Intrauterine adhesions (IUA), also known as Asherman syndrome, can cause menstrual abnormalities and infertility.
- Diagnostic hysteroscopy is a common procedure for evaluating the uterine cavity.
Purpose of the Study:
- To assess the risk of developing intrauterine adhesions following diagnostic hysteroscopy.
- To evaluate the safety of hysteroscopy in patients undergoing gynecologic procedures.
Main Methods:
- A prospective study involving 108 women undergoing diagnostic hysteroscopy.
- Second-look hysteroscopy was performed post-procedure in patients with no prior adhesions.
- Incidence of new adhesion formation was recorded.
Main Results:
- Only 1 out of 100 patients without pre-existing adhesions developed new intrauterine adhesions after diagnostic hysteroscopy.
- The overall incidence of new adhesion formation was very low.
Conclusions:
- Diagnostic hysteroscopy appears to have a low risk of causing intrauterine adhesions.
- The procedure is considered safe for evaluating the uterine cavity, even in patients with a history of gynecologic surgery.