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Clinical and Experimental Obstetrics & Gynecology  2019, Vol. 46 Issue (3): 375-376    DOI: 10.12891/ceog4704.2019
Original Research Previous articles | Next articles
Effect of hysteroscopic lysis of intrauterine adhesions in menstruating women on subsequent late proliferative phase endometrial thickness
J.H. Check1, 2, *(), C. Dietterich2, J.K. Choe1, 2
1Cooper Medical School of Rowan University, Camden, NJ, USA
2Cooper Institute for Reproductive and Hormonal Disorders, P.C., Mt. Laurel, NJ, USA
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Abstract  

Purpose: To determine if adhesiolysis of intrauterine adhesions improves or is detrimental to post-operative endometrial thickness in women with normal menstruation. Materials and Methods: Endometrial thickness by sonography was determined at the time of the mature dominant follicle, both in a cycle prior and then following hysteroscopic adhesiolysis. Results: The pre- and post-average endometrial thicknesses were exactly the same. Considering three endometrial thickness categories (4-5 mm poor prognosis, 5-6 mm fair prognosis,and ≥ 8 good prognosis) one woman went from fair to good, but three went from good to fair, and one went from good to poor. Conclusions: Through there were no significant differences, but there was a trend for diminished endometrial thickness. Thin endometria has been associated with diminished fecundity. This preliminary study should encourage a large prospective controlled study evaluating the effect of adhesiolysis on endometrial thickness and pregnancy rates in women with normal menses despite intrauterine adhesions.

Key words:  Menstruating women      Intrauterine adhesions      Adhesiolysis      Endometrial thickness     
Published:  10 June 2019     
*Corresponding Author(s):  J.H. CHECK     E-mail:  laurie@ccivf.com

Cite this article: 

J.H. Check, C. Dietterich, J.K. Choe. Effect of hysteroscopic lysis of intrauterine adhesions in menstruating women on subsequent late proliferative phase endometrial thickness. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(3): 375-376.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog4704.2019     OR     https://ceog.imrpress.com/EN/Y2019/V46/I3/375

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