Primary hysteroscopic treatment of miscarriages: Is it our future or just a fad?
In this issue of JMIG, we highlight a pilot study of primary hysteroscopic management of early miscarriage. Historically, patients have been offered a dilation and curettage (D&C) as the only surgical treatment option for miscarriage. Typically done without ultrasound guidance, D&Cs may be associated with complications including bleeding, infection, and perforation.1 –3 Importantly, D&Cs can disrupt the basalis layer of the endometrium leading to increased risk of intrauterine adhesions and subsequent hypofertility.1 Risk of intrauterine adhesions after miscarriage have been reported as high as 40% and may be increased w...
Source: The Journal of Minimally Invasive Gynecology - September 25, 2021 Category: OBGYN Authors: Alexis K. Gadson, Gary N. Frishman Tags: EDITORIAL Source Type: research
Post-Surgical Barrier Strategies to Avoid the Recurrence of Intrauterine Adhesion Formation after Hysteroscopic Adhesiolysis: A Network Meta-Analysis of Randomized Controlled Trials
To assess the efficacy of mechanical strategies to avoid recurrence of intrauterine adhesions and to evaluate the impact on subsequent fertility after hysteroscopic adhesiolysis. To rank the available antiadhesive options. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - September 20, 2021 Category: OBGYN Authors: Salvatore Giovanni Vitale, Gaetano Riemma, Jose Carugno, Tirso Perez-Medina, Luis Alonso Pacheco, Sergio Haimovich, John Preston Parry, Attilio Di Spiezio Sardo, Pasquale De Franciscis Tags: Systematic Review Source Type: research
Postsurgical barrier strategies to avoid the recurrence of intrauterine adhesion formation after hysteroscopic adhesiolysis: a network meta-analysis of randomized controlled trials
To assess the efficacy of mechanical strategies to avoid the recurrence of intrauterine adhesions, to evaluate the impact on subsequent fertility after hysteroscopic adhesiolysis and to rank the available antiadhesive options. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - September 20, 2021 Category: OBGYN Authors: Salvatore Giovanni Vitale, Gaetano Riemma, Jose Carugno, Tirso Perez-Medina, Luis Alonso Pacheco, Sergio Haimovich, John Preston Parry, Attilio Di Spiezio Sardo, Pasquale De Franciscis Tags: Systematic Review Source Type: research
Effectiveness of hyaluronan gel, intrauterine device and their combination for prevention adhesions in patients after intrauterine surgery: systematic review and meta-analysis
According to recent studies, Asherman ’s syndrome is one of the reasons for female infertility. However, adhesiolysis only can cause recurrence and implantation failure. The aim of our systematic review and meta-analysis is to summarize all available data regarding the effectiveness of hyaluronan gel, an intrauterine device (IUD) and their combination in the prevention of intrauterine adhesions. (Source: Fertility and Sterility)
Source: Fertility and Sterility - September 1, 2021 Category: Reproduction Medicine Authors: Laura Pivazyan, Ara Unanyan, Ekaterina Krylova, Lilia Obosyan, Anatoly Ishchenko Source Type: research
Clinical analysis of pregnancy outcome of intrauterine adhesions
This study aims to investigate the clinical data and case characteristics of 449 patients with intrauterine adhesions (IUAs), and analyze the menstrual condition, recurrence factors and pregnancy outcomes after hysteroscopy. (Source: Fertility and Sterility)
Source: Fertility and Sterility - September 1, 2021 Category: Reproduction Medicine Authors: Yajie Chang, Xiaolan Li Source Type: research
Severity of intrauterine adhesions at time of surgery and not the endometrial thickness prior to subsequent cycle determines clinical pregnancy rate
To determine if peak endometrial thickness in women undergoing assisted reproductive technologies (ART) with a diagnosis of intrauterine adhesions (IUAs) is associated with odds of achieving a clinical pregnancy. (Source: Fertility and Sterility)
Source: Fertility and Sterility - September 1, 2021 Category: Reproduction Medicine Authors: Simone Elder, Pietro Bortoletto, Phillip A. Romanski, Steven Spandorfer Source Type: research
Association between endogenous LH level prior to progesterone administration and live birth rate in artificial frozen-thawed blastocyst transfer cycles of ovulatory women
AbstractSTUDY QUESTIONIs there an association between serum LH levels prior to progesterone administration and live birth rate (LBR) in artificial frozen-thawed embryo transfer (FET) cycles?SUMMARY ANSWER: Low serum LH levels on the day before progesterone initiation in artificial frozen-thawed blastocyst transfer cycles of ovulatory women are associated with a lower LBR.WHAT IS KNOWN ALREADYIn artificial FET cycles, exogenous oestrogen and progesterone are administered sequentially to mimic the serum hormone pattern similar to the natural cycle. In oestrogen-only phase, the supplemental oestrogen causes thickening of the ...
Source: Human Reproduction - August 27, 2021 Category: Reproduction Medicine Source Type: research
Effectiveness of Hyaluronic Acid Gel and Intrauterine Devices in Prevention of Intrauterine Adhesions Following Hysteroscopic Adhesiolysis in Infertile Women
To compare the recurrent rate, post treatment AFS score, ongoing pregnancy rate and endometrial thickness of three secondary prevention therapies in preventing recurrent intrauterine adhesions and increasing pregnancy rates in infertile women following hysteroscopic adhesiolysis. (Source: The Journal of Minimally Invasive Gynecology)
Source: The Journal of Minimally Invasive Gynecology - August 22, 2021 Category: OBGYN Authors: Thuy T. Trinh, Kien D. Nguyen, Huong V. Pham, Thang V. Ho, Huong T. Nguyen, Sean O'Leary, Hien T.T. Le, Hanh M. Pham Tags: ORIGINAL ARTICLE Source Type: research
Efficacy of hysteroscopic cold knife separation on intrauterine adhesions
CONCLUSION: Hysteroscopic cold knife separation can improve the efficacy of IUA and protect the endometrium.PMID:34377327 | PMC:PMC8340206 (Source: American Journal of Translational Research)
Source: American Journal of Translational Research - August 11, 2021 Category: Research Authors: Xia Jin Junliang Ye Li Zhang Lichun Chen Source Type: research
