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; https://doi.org/10.12891/ceog4704.2019
Published: 10 June 2019
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.

Keywords
Menstruating women
Intrauterine adhesions
Adhesiolysis
Endometrial thickness
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