Related Experiment Video
Updated: Dec 21, 2025
Author Spotlight: A Reproductive Hysteroscopy Approach for Complete Endometrial Polyp Removal and Enhanced Endometrial Receptivity
Published on: August 2, 2024
Intrauterine adhesions: What is the pregnancy rate after hysteroscopic management?
Perrine Capmas1, Andreï Mihalache2, Laura Duminil2
1AP-HP, GHU-Sud, Hospital Bicêtre, Department of Gynecology and Obstetrics, 78 rue du Général Leclerc, 94270 Le Kremlin Bicêtre, France; Faculty of Medicine, University Paris-Saclay, 63 rue Gabriel Péri, 94270 Le Kremlin Bicêtre, France; Université Paris-Saclay, UVSQ, Inserm, CESP, 94807 Villejuif, France.
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.
More Related Videos
Related Concept Videos
01:24In Vitro Fertilization
The IVF process begins with ovarian stimulation, during which reproductive endocrinologists prescribe hormonal medications to stimulate the ovaries to produce multiple eggs instead of the single...
01:27Ovarian Cycle