Live births after Asherman syndrome treatment.
Fertil Steril
; 116(4): 1181-1187, 2021 10.
Article
em En
| MEDLINE
| ID: mdl-34130799
ABSTRACT
OBJECTIVE:
To study the reproductive outcomes after surgical management of women with Asherman syndrome (AS).DESIGN:
Cohort study.SETTING:
International referral hospital for women with AS. PATIENT(S) A total of 500 women who were diagnosed with and treated for AS between January 2003 and December 2016 and followed for a minimum of 2 years. INTERVENTION(S) Hysteroscopic adhesiolysis using conventional instruments with concomitant fluoroscopy as a guidance method. MAIN OUTCOME MEASURE(S) Live birth rate. RESULT(S) Of the 500 women included in the cohort, 569 pregnancies were achieved within 3 years after surgery. The miscarriage rate was 33.0%, and the live birth rate was 67.4%. Age, the causal procedure, and at least one miscarriage after adhesiolysis strongly predicted the outcome of a live birth. CONCLUSION(S) The overall take-home newborn rate was 67.4% after adhesiolysis in women with AS. Women with AS who are relatively young, with a first-trimester procedure preceding AS, and with low grades of adhesions and no miscarriage after adhesiolysis have the best chance of a newborn delivery.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Histeroscopia
/
Ginatresia
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Infertilidade Feminina
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article