Intrauterine adhesions after manual/electric vacuum aspiration without sharp curettage

Manual vacuum aspiration (MVA) and electric vacuum aspiration (EVA) are options for surgical management of early pregnancy loss and undesired pregnancy, as well as diagnostic work-up for pregnancy of unknown location. Though rare, these procedures can be associated with the risk of intrauterine adhesions (IUAs). This is referred to as Asherman ’s syndrome when associated with symptoms such as infertility, menstrual abnormalities, or recurrent pregnancy loss.1 The true incidence of IUAs after MVA/EVA is not well established but is estimated to range from 2%-30%.
Source: Fertility and Sterility - Category: Reproduction Medicine Authors: Source Type: research