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Feasibility of endometrial assessment after thermal ablationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Endometrial assessment is compromised after previous endometrial thermal ablation. Both endometrial sampling and sonohysterography fail quite often, causing problems in diagnosis of abnormal bleeding. Intrauterine adhesions may also decrease the reliability of the endometrial sampling. (Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology)
Source: European Journal of Obstetrics, Gynecology, and Reproductive Biology - July 7, 2009 Category: OBGYN Authors: Sari J. Ahonkallio, Annikki K. Liakka, Hannu K. Martikainen, Markku J. Santala Tags: Gynaecology and Gynaecological Oncology Source Type: journals

Hysteroscopic Management of Residual Trophoblastic Tissue and Reproductive Outcome: A Pilot StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report on the feasibility, efficiency, and reproductive outcomes of hysteroscopic resection of late residual trophoblastic tissue in 50 patients in an observational study over 6 years. Complete evacuation of the uterus was achieved in all patients by hysteroscopy. The median operative time was 21 (15-30) min. Only one surgical complication was registered: a uterine perforation in a patient with previous metroplasty. Hysteroscopic resection of persistent trophoblastic tissue seems to be a safe and efficient procedure that could be proposed as an alternative to conventional non-selective blind curettage. We would also rec...
Source: The Journal of Minimally Invasive Gynecology - June 30, 2009 Category: OBGYN Authors: Erika Faivre, Xavier Deffieux, Chaouki Mrazguia, Amélie Gervaise, Aurélia Chauveaud-Lambling, René Frydman, Hervé Fernandez Tags: Instruments and Techniques Source Type: journals

Traumatic uterine synechiaeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Summary SIX cases of traumatic uterine synechiae are reported. The condition is discussed and possible resasons for its apparent rarity in Britain are given. Content Type Journal ArticleDOI 10.1007/BF03004783Authors Rokhsareh Karimi, University of Isfahan Department of Obstetrics and Gynaecology IranKenneth Chapman, University of Isfahan Department of Obstetrics and Gynaecology Iran Journal Irish Journal of Medical ScienceOnline ISSN 1863-4362Print ISSN 0021-1265 Journal Volume Volume 143 Journal Issue Volume 143, Number 1 / December, 1974 (Source: Irish Journal of Medical Science)
Source: Irish Journal of Medical Science - December 10, 2008 Category: Journals (General) Tags: Irish Journal of Medical Science Source Type: journals

Efficiency and pregnancy outcome of serial intrauterine device–guided hysteroscopic adhesiolysis of intrauterine synechiaeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion(s): The method described especially for early intervention may prevent complications during the treatment of severe intrauterine adhesions and may present a secure and effective alternative for constructive clinical outcomes. (Source: Fertility and Sterility)
Source: Fertility and Sterility - November 1, 2008 Category: Reproduction Medicine Authors: Recai Pabuccu, Gogsen Onalan, Cemil Kaya, Belgin Selam, Temel Ceyhan, Turkan Ornek, Ebru Kuzudisli Tags: Techniques and instrumentation Source Type: journals

Balloon fluoroscopy as treatment for intrauterine adhesions: a novel approachEmail this article to a colleague. Save this article to My Clippings. discuss this article 2 CommentsDiscuss or comment on this article.
Conclusion(s): Hysteroplasty, using standard interventional radiographic techniques, may provide an alternative treatment modality for patients with intrauterine adhesions and lower uterine defects from prior cesarean deliveries in select cases. While treating intrauterine adhesions improves pregnancy outcome, the effect of lower uterine segment-filling defects from cesarean deliveries on pregnancy outcome in assisted reproductive technology cycles warrants further investigation. (Source: Fertility and Sterility)
Source: Fertility and Sterility - November 1, 2008 Category: Reproduction Medicine Authors: Rebecca J. Chason, Eric D. Levens, Belinda J. Yauger, Mark D. Payson, Kenneth Cho, Frederick W. Larsen Tags: Case report summaries Source Type: journals

Uterine synechiae after bipolar hysteroscopic resection of submucosal myomas in patients with infertilityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Objective: To determine the rate of uterine synechiae after bipolar hysteroscopic myomectomy in patients suffering from infertility.Design: Retrospective case series study.Setting: University obstetrics gynecologic and assisted reproduction center.Patient(s): A group of 53 patients with primary (n = 30) and secondary (n = 23) infertility.Intervention(s): Patients underwent bipolar hysteroscopic resection of myomas between 2001 and 2006, and an outpatient hysteroscopy was performed 2 months after the fibroid resection.Main Outcome Measure(s): The formation of uterine synechiae and pregnancy rates were collected from the pat...
Source: Fertility and Sterility - October 20, 2008 Category: Reproduction Medicine Authors: Cyril Touboul, Hervé Fernandez, Xavier Deffieux, Richard Berry, René Frydman, Amélie Gervaise Tags: Uterine fibroids Source Type: journals

Fluoroscopically guided balloon hysteroplasty can lyse lower uterine lesionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Researchers have reported success with a novel fluoroscopically guided approach to treating severe intrauterine adhesions and cervical stenosis using balloon hysteroplasty. (Source: MedWire News - Ob/Gyn)
Source: MedWire News - Ob/Gyn - September 29, 2008 Category: OBGYN Source Type: news

Thin unresponsive endometrium—a possible complication of surgical curettage compromising ART outcomeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions Thin unresponsive endometrium was associated with curettage, not necessarily with intrauterine adhesions. Even if adequate thickening eventually occurred, the reproductive outcome was still very poor. Therefore other alternatives should be sought for these patients. Content Type Journal ArticleCategory SHORT COMMUNICATIONDOI 10.1007/s10815-008-9245-yAuthors Yoel Shufaro, Hadassah University Hospital, Ein Kerem IVF Unit, The Department of Obstetrics and Gynecology P.O. Box 12000 Jerusalem 91120 IsraelAlex Simon, Hadassah University Hospital, Ein Kerem IVF Unit, The Department of Obstetrics ...
Source: Journal of Assisted Reproduction and Genetics - September 17, 2008 Category: Reproduction Medicine Tags: Journal of Assisted Reproduction and Genetics Source Type: journals

Menses recovery and fertility after artery embolization for PPH: a single-center retrospective observational studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract To evaluate long-term effects of arterial embolization (AE) for postpartum hemorrhage (PPH) on menses recovery and subsequent pregnancies. One hundred thirteen consecutive patients, recruited from 1999 to 2006, who had undergone AE for severe PPH were evaluated in a retrospective monocentric study. As embolization agents, pledgets of absorbable gelatine sponge (Curaspon®) were used in 106 cases, Curaspon powder in 3 cases, and inert microparticles in 4 cases. In 111/113 cases (98.1%), AE was successful in controlling PPH. In two cases (1.7%), the AE was unsuccessful and required a total abdominal p...
Source: European Radiology - September 3, 2008 Category: Radiology Tags: European Radiology Source Type: journals

Intrauterine AdhesionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Semin Reprod Med 2008; 26: 349-355DOI: 10.1055/s-0028-1082393ABSTRACTJoseph Asherman first described intrauterine adhesions in 1948. It is commonly referred to as Asherman's syndrome and intrauterine synechiae. It is characterized by a spectrum ranging from amenorrhea to menstrual disturbance to normal menses. It is frequently associated with infertility. The true incidence is unknown. Most cases occur within close temporal proximity to a pregnancy, usually within 4 months and usually while the woman is in a hypoestrogenized state. Most cases are associated with trauma to the endometrium from surgical procedures, primarily...
Source: Seminars in Reproductive Medicine - August 29, 2008 Category: Reproduction Medicine Source Type: journals

Intrauterine adhesions (IUA): has there been progress in understanding and treatment over the last 20 years?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract We review the current evidence about the treatment modalities of intrauterine adhesions (IUA) or Asherman’s Syndrome (AS). Systematic approach, audit and well-structured research is mandatory in order to establish the best treatment for the individual needs of patients. The clinical practice changed significantly over the last 20 years with technological advances in hysteroscopy and imaging techniques. Hysteroscopic treatment seems effective and safe. IUA or AS is a rather uncommon finding in general gynaecological practice. The referral to a tertiary centre will help to centralise the most d...
Source: Gynecological Surgery - August 27, 2008 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Pelvic pain following microwave endometrial ablation—is hysteroscopic adhesiolysis worthwhile?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conclusion, some patients were still symptomatic following hysteroscopy and needed further intervention in the form of major gynaecological surgery. However, 45% of patients improved following only the minor day case procedure, without needing to resort to a hysterectomy with its inherent risks and costs. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10397-008-0413-yAuthors J. A. Allen, Castle Hill Hospital Castle Road Cottingham North Humberside HU16 5JQ UKK. Phillips, Castle Hill Hospital Castle Road Cottingham North Humberside HU16 5JQ UK Journal Gynecological SurgeryOnline ISSN 1613...
Source: Gynecological Surgery - June 25, 2008 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Hysteroscopy in the evaluation of habitual abortions.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: SUAs were detected in nearly half of the patients with HA. After appropriate treatment when applicable, 78% of patients with SUAs achieved a successful ongoing pregnancy. Hysteroscopy has much to offer in the diagnosis and treatment of SUAs. PMID: 18465483 [PubMed - indexed for MEDLINE] (Source: The European Journal of Contraception and Reproductive Health Care)
Source: The European Journal of Contraception and Reproductive Health Care - June 1, 2008 Category: Reproduction Medicine Authors: Dendrinos S, Grigoriou O, Sakkas EG, Makrakis E, Creatsas G Tags: Eur J Contracept Reprod Health Care Source Type: journals

[Prevention of intrauterine adhesions after hysteroscopic surgery.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Intrauterine adhesions are the most frequent complications after hysteroscopic surgery in women of reproductive age. The prevalence of intrauterine adhesions after hysteroscopic surgery is correlated to intrauterine pathology (myoma, polyp, or adhesions). Few clinical trials have demonstrated the efficiency of barrier agents developed in order to prevent adhesions after operative hysteroscopy. Adhesion barriers are mechanic agent (intrauterine device), fluid agents (Seprafilm((R)), Hyalobarrier((R))) and postoperative systemic treatment (estroprogestative treatment). In this article, we evaluate the efficiency of these...
Source: Gynecologie, Obstetrique & Fertilite - February 26, 2008 Category: OBGYN Authors: Revaux A, Ducarme G, Luton D Tags: Gynecol Obstet Fertil Source Type: journals

Endometrial thickness measured by ultrasound scan in women with uterine outlet obstruction due to intrauterine or upper cervical adhesionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS Non-invasive ultrasound measurements have demonstrated very thin endometrium and absence of haematometra in most women with uterine outlet occlusion by adhesions. This unusual phenomenon of failure of cyclical endometrial growth and breakdown in the sole presence of cervical occlusion by adhesions merits further study. (Source: Human Reproduction)
Source: Human Reproduction - January 16, 2008 Category: Reproduction Medicine Authors: Lo, S. T., Ramsay, P., Pierson, R., Manconi, F., Munro, M. G., Fraser, I. S. Tags: Gynaecology Source Type: journals

The uterus and fertility.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION(S): Congenital anomalies and acquired diseases of the uterus may negatively impact on the complex processes of embryo implantation. Hysteroscopic surgery to correct uterine septa, intrauterine synechiae, and myomas that distort the uterine cavity may benefit women with infertility or recurrent pregnancy loss. The effect of endometrial polyps on fertility is uncertain, but their removal, once identified, is justifiable. Complex congenital anomalies such as unicornuate uterus and uterus didelphys may negatively affect fertility and pregnancy outcome, and surgical treatment may benefit select patients. PMID: 18...
Source: Fertility and Sterility - December 20, 2007 Category: Reproduction Medicine Authors: Taylor E, Gomel V Tags: Fertil Steril Source Type: journals

The nature of intrauterine adhesions following reproductive hysteroscopic surgery as determined by early and late follow-up hysteroscopy: clinical implicationsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion The IUA that might be formed immediately following hysteroscopic reproductive surgery are histologically different from those appearing a longer time after the original operation. Routine early follow-up hysteroscopy can influence the prognosis resulting from the original surgery. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00404-007-0475-5Authors Tarek A. Shokeir, Mansoura University Hospital Department of Obstetrics and Gynecology, Fertility Care Unit, Mansoura Faculty of Medicine Mansoura EgyptMuhammad Fawzy, Mansoura University Hospital Department of Obstetrics and...
Source: Archives of Gynecology and Obstetrics - October 16, 2007 Category: OBGYN Tags: Archives of Gynecology and Obstetrics Source Type: journals

Intrauterine adhesions as a risk factor for failed first-trimester pregnancy termination.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: Intrauterine adhesions are a cause of failed surgical abortion. Ultrasound-guided hysteroscopy may be required for diagnosis. PMID: 17900447 [PubMed - in process] (Source: Contraception)
Source: Contraception - September 30, 2007 Category: OBGYN Authors: Luk J, Allen RH, Schantz-Dunn J, Goldberg AB Tags: Contraception Source Type: journals

Factors affecting reproductive outcome of hysteroscopic adhesiolysis for Asherman's syndrome.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION(S): The outcome of hysteroscopic adhesiolysis for Asherman's syndrome is significantly affected by recurrence of intrauterine adhesions. Further research in Asherman's syndrome should be directed toward reduction of adhesion reformation with a view to improving outcome. PMID: 17681324 [PubMed - as supplied by publisher] (Source: Fertility and Sterility)
Source: Fertility and Sterility - August 4, 2007 Category: Reproduction Medicine Authors: Yu D, Li TC, Xia E, Huang X, Liu Y, Peng X Tags: Fertil Steril Source Type: journals

Genital tuberculosis: an important cause of Asherman’s syndrome in IndiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion Genital tuberculosis appears to be an important and common cause of Asherman's syndrome in India, causing oligomenorrhoea or amenorrhoea with infertility. Content TypeJournal Article JournalArchives of Gynecology and ObstetricsOnline ISSN 1432-0711Print ISSN 0932-0067 (Source: Archives of Gynecology and Obstetrics)
Source: Archives of Gynecology and Obstetrics - July 25, 2007 Category: OBGYN Tags: Archives of Gynecology and Obstetrics Source Type: journals

Genital tuberculosis in Indian infertility patients.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: Genital tuberculosis is common in India and a combination of clinical and laparoscopic diagnoses, along with endometrial histopathologic studies, acid-fast bacillus culture, and polymerase chain reaction assays provides the best available method for the diagnosis of genital tuberculosis in infertile women. PMID: 17362955 [PubMed - in process] (Source: International Journal of Gynaecology and Obstetrics)
Source: International Journal of Gynaecology and Obstetrics - May 1, 2007 Category: OBGYN Authors: Gupta N, Sharma JB, Mittal S, Singh N, Misra R, Kukreja M Tags: Int J Gynaecol Obstet Source Type: journals

Amnion graft following hysteroscopic lysis of intrauterine adhesionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Journal of Obstetrics and Gynaecology Research Volume 32, Issue 6, Page 559-566, Dec 2006. (Source: Journal of Obstetrics and Gynaecology Research)
Source: Journal of Obstetrics and Gynaecology Research - November 14, 2006 Category: OBGYN Source Type: journals

Prevalence of uterine synechiae among infertile females in a Nigerian teaching hospitalEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Journal of Obstetrics)
Source: Journal of Obstetrics - May 31, 2006 Category: OBGYN Authors: Umdagas, H. Kawuwa, B. Hajara, U. Mohammed, S. Source Type: journals