[The hysteroscopic treatment of Asherman syndrome]

In the period January 1978 until December 1985 14 patients were hysteroscopically diagnosed as having Asherman syndrome. All patients had had a history of a curettage after termination of pregnancy and/or hypo-amenorrhoea. Excluded from the series were patients with thin intra-uterine senechiae which were easily broken down with the hysteroscope itself. No patient was excluded because of other infertility factors. Of the 14 patients, 10 were hysteroscopically treated by means of lysis with microscissors; of the remainder 3 were not treated because the hospital did not have microscissors at that time and 1 patient was already postmenopausal. Postoperatively, a Foley catheter was placed in the uterine cavity for 3 days. Cyclic steroid hormone therapy was not used except in 1 patient. Of the 10 treated patients, 5 became pregnant; all were delivered of live babies.