[Intrauterine adhesions--etiology, diagnosis, therapy and possibilities for prevention]

The incidence of intrauterine adhesions is higher than often suggested. The causes are in most of the cases forced intrauterine intervention; especially in post-gravid uterus. Infections as only cause are very rate. For the diagnostics the hysteroscopy is definitely superior to the hysterosalpingography and sonography. The classification of intrauterine adhesions should be carried out by hysteroscopy. The therapeutic method of choice is the intrauterine adhesiolysis by hysteroscopy. Only in severe cases the abdominal metroplasty is the method of last choice. Primary prevention is only possible through avoidance of forced intrauterine interventions, especially in post-gravid uterus. A second possibility is the early performance of control hysteroscopy after intrauterine interventions.