IMR Press / CEOG / Volume 46 / Issue 3 / DOI: 10.12891/ceog4704.2019
Open Access Original Research
Effect of hysteroscopic lysis of intrauterine adhesions in menstruating women on subsequent late proliferative phase endometrial thickness
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1 Cooper Medical School of Rowan University, Camden, NJ, USA
2 Cooper Institute for Reproductive and Hormonal Disorders, P.C., Mt. Laurel, NJ, USA
Clin. Exp. Obstet. Gynecol. 2019 , 46(3), 375–376;
Published: 10 June 2019

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.

Menstruating women
Intrauterine adhesions
Endometrial thickness
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