Intrauterine adhesions: what is the pregnancy rate after hysteroscopic management?

Abstract Objective To evaluate the rate of pregnancy following hysteroscopic management of intrauterine adhesions Design Retrospective study Setting From June 2009 to December 2014 in a teaching hospital Patients Women treated by operative hysteroscopy for intrauterine adhesions Intervention Operative hysteroscopy to manage intrauterine adhesions Main outcome measure: rate of intrauterine pregnancy after hysteroscopic management of intrauterine adhesions Results Out of the 202 women whom benefit from hysteroscopic adhesiolysis, 112(55%) had an effective pregnancy desire. Among them, an intrauterine pregnancy was obtained for 58 women (52%) with a trend to a lower rate for type IV and Vb intrauterine adhesions management (40.5%, p = 0.09). Pregnancy rates were similar for women undergoing one or more procedures. Conclusion Hysteroscopic management of intrauterine adhesions seems useful as it leads to a pregnancy rate of 52%. However, this rate is lower in case of type IV and Vb intrauterine adhesions. Repeated procedures don’t seem to lead to less pregnancy; however, a more powerful prospective study should be performed to answer this specific question.