Hysteroscopic adhesiolysis for patients with Asherman's syndrome: Menstrual and fertility outcomes

Nari Yamamoto, Reiko Takeuchi, Daisuke Izuchi, Norihito Yuge, Masahide Miyazaki, Masafumi Yasunaga, Katsuko Egashira, Yousuke Ueoka, Yoshihito Inoue

研究成果: ジャーナルへの寄稿記事

4 引用 (Scopus)

抄録

Purpose: Most patients with Asherman's syndrome present with infertility and menstrual problems. In this retrospective clinical study, we analyzed patients with Asherman's syndrome who underwent hysteroscopic adhesiolysis to examine their associated symptoms, disease etiologies, and fertility outcomes. Methods: Twenty-seven patients with Asherman's syndrome that were diagnosed using hysteroscopy were recruited. The chief complaints were infertility, hypomenorrhea, and amenorrhea. Each case of Asherman's syndrome was classified according to the American Fertility Society classification. Hysteroscopic adhesiolysis was performed in all cases and concomitant transabdominal ultrasonography was conducted in cases with extensive and dense adhesions. Results: There were no complications associated with the hysteroscopic procedure. Normal menstrual cycles resumed in all cases. Of the 16 infertile patients, 9 conceived. Three patients achieved term deliveries and one patient is currently pregnant. None of the patients had obstetric complications. Two patients had spontaneous abortions, one had an ectopic pregnancy, one had an abortion at 16 weeks' gestation due to cervical incompetence, and one had a molar pregnancy and required uterine artery embolization for uncontrolled hemorrhaging during a dilatation and curettage procedure. Conclusions: Hysteroscopic adhesiolysis with transabdominal ultrasonography is a suitable treatment method for Asherman's syndrome. Subfertile patients with Asherman's syndrome undergoing adhesiolysis should be appropriately informed about the risk of associated life-threatening complications and preterm delivery.

元の言語英語
ページ(範囲)159-166
ページ数8
ジャーナルReproductive Medicine and Biology
12
発行部数4
DOI
出版物ステータス出版済み - 10 2013
外部発表Yes

Fingerprint

Gynatresia
Fertility
Infertility
Ultrasonography
Menstruation Disturbances
Uterine Artery Embolization
Hydatidiform Mole
Dilatation and Curettage
Hysteroscopy
Ectopic Pregnancy
Amenorrhea
Spontaneous Abortion
Menstrual Cycle
Obstetrics
Retrospective Studies

All Science Journal Classification (ASJC) codes

  • Reproductive Medicine
  • Cell Biology

これを引用

Hysteroscopic adhesiolysis for patients with Asherman's syndrome : Menstrual and fertility outcomes. / Yamamoto, Nari; Takeuchi, Reiko; Izuchi, Daisuke; Yuge, Norihito; Miyazaki, Masahide; Yasunaga, Masafumi; Egashira, Katsuko; Ueoka, Yousuke; Inoue, Yoshihito.

:: Reproductive Medicine and Biology, 巻 12, 番号 4, 10.2013, p. 159-166.

研究成果: ジャーナルへの寄稿記事

Yamamoto, N, Takeuchi, R, Izuchi, D, Yuge, N, Miyazaki, M, Yasunaga, M, Egashira, K, Ueoka, Y & Inoue, Y 2013, 'Hysteroscopic adhesiolysis for patients with Asherman's syndrome: Menstrual and fertility outcomes', Reproductive Medicine and Biology, 巻. 12, 番号 4, pp. 159-166. https://doi.org/10.1007/s12522-013-0149-x
Yamamoto, Nari ; Takeuchi, Reiko ; Izuchi, Daisuke ; Yuge, Norihito ; Miyazaki, Masahide ; Yasunaga, Masafumi ; Egashira, Katsuko ; Ueoka, Yousuke ; Inoue, Yoshihito. / Hysteroscopic adhesiolysis for patients with Asherman's syndrome : Menstrual and fertility outcomes. :: Reproductive Medicine and Biology. 2013 ; 巻 12, 番号 4. pp. 159-166.
@article{062b589b1ccc43b280e7628371dfa100,
title = "Hysteroscopic adhesiolysis for patients with Asherman's syndrome: Menstrual and fertility outcomes",
abstract = "Purpose: Most patients with Asherman's syndrome present with infertility and menstrual problems. In this retrospective clinical study, we analyzed patients with Asherman's syndrome who underwent hysteroscopic adhesiolysis to examine their associated symptoms, disease etiologies, and fertility outcomes. Methods: Twenty-seven patients with Asherman's syndrome that were diagnosed using hysteroscopy were recruited. The chief complaints were infertility, hypomenorrhea, and amenorrhea. Each case of Asherman's syndrome was classified according to the American Fertility Society classification. Hysteroscopic adhesiolysis was performed in all cases and concomitant transabdominal ultrasonography was conducted in cases with extensive and dense adhesions. Results: There were no complications associated with the hysteroscopic procedure. Normal menstrual cycles resumed in all cases. Of the 16 infertile patients, 9 conceived. Three patients achieved term deliveries and one patient is currently pregnant. None of the patients had obstetric complications. Two patients had spontaneous abortions, one had an ectopic pregnancy, one had an abortion at 16 weeks' gestation due to cervical incompetence, and one had a molar pregnancy and required uterine artery embolization for uncontrolled hemorrhaging during a dilatation and curettage procedure. Conclusions: Hysteroscopic adhesiolysis with transabdominal ultrasonography is a suitable treatment method for Asherman's syndrome. Subfertile patients with Asherman's syndrome undergoing adhesiolysis should be appropriately informed about the risk of associated life-threatening complications and preterm delivery.",
author = "Nari Yamamoto and Reiko Takeuchi and Daisuke Izuchi and Norihito Yuge and Masahide Miyazaki and Masafumi Yasunaga and Katsuko Egashira and Yousuke Ueoka and Yoshihito Inoue",
year = "2013",
month = "10",
doi = "10.1007/s12522-013-0149-x",
language = "English",
volume = "12",
pages = "159--166",
journal = "Reproductive Medicine and Biology",
issn = "1445-5781",
publisher = "Springer Japan",
number = "4",

}

TY - JOUR

T1 - Hysteroscopic adhesiolysis for patients with Asherman's syndrome

T2 - Menstrual and fertility outcomes

AU - Yamamoto, Nari

AU - Takeuchi, Reiko

AU - Izuchi, Daisuke

AU - Yuge, Norihito

AU - Miyazaki, Masahide

AU - Yasunaga, Masafumi

AU - Egashira, Katsuko

AU - Ueoka, Yousuke

AU - Inoue, Yoshihito

PY - 2013/10

Y1 - 2013/10

N2 - Purpose: Most patients with Asherman's syndrome present with infertility and menstrual problems. In this retrospective clinical study, we analyzed patients with Asherman's syndrome who underwent hysteroscopic adhesiolysis to examine their associated symptoms, disease etiologies, and fertility outcomes. Methods: Twenty-seven patients with Asherman's syndrome that were diagnosed using hysteroscopy were recruited. The chief complaints were infertility, hypomenorrhea, and amenorrhea. Each case of Asherman's syndrome was classified according to the American Fertility Society classification. Hysteroscopic adhesiolysis was performed in all cases and concomitant transabdominal ultrasonography was conducted in cases with extensive and dense adhesions. Results: There were no complications associated with the hysteroscopic procedure. Normal menstrual cycles resumed in all cases. Of the 16 infertile patients, 9 conceived. Three patients achieved term deliveries and one patient is currently pregnant. None of the patients had obstetric complications. Two patients had spontaneous abortions, one had an ectopic pregnancy, one had an abortion at 16 weeks' gestation due to cervical incompetence, and one had a molar pregnancy and required uterine artery embolization for uncontrolled hemorrhaging during a dilatation and curettage procedure. Conclusions: Hysteroscopic adhesiolysis with transabdominal ultrasonography is a suitable treatment method for Asherman's syndrome. Subfertile patients with Asherman's syndrome undergoing adhesiolysis should be appropriately informed about the risk of associated life-threatening complications and preterm delivery.

AB - Purpose: Most patients with Asherman's syndrome present with infertility and menstrual problems. In this retrospective clinical study, we analyzed patients with Asherman's syndrome who underwent hysteroscopic adhesiolysis to examine their associated symptoms, disease etiologies, and fertility outcomes. Methods: Twenty-seven patients with Asherman's syndrome that were diagnosed using hysteroscopy were recruited. The chief complaints were infertility, hypomenorrhea, and amenorrhea. Each case of Asherman's syndrome was classified according to the American Fertility Society classification. Hysteroscopic adhesiolysis was performed in all cases and concomitant transabdominal ultrasonography was conducted in cases with extensive and dense adhesions. Results: There were no complications associated with the hysteroscopic procedure. Normal menstrual cycles resumed in all cases. Of the 16 infertile patients, 9 conceived. Three patients achieved term deliveries and one patient is currently pregnant. None of the patients had obstetric complications. Two patients had spontaneous abortions, one had an ectopic pregnancy, one had an abortion at 16 weeks' gestation due to cervical incompetence, and one had a molar pregnancy and required uterine artery embolization for uncontrolled hemorrhaging during a dilatation and curettage procedure. Conclusions: Hysteroscopic adhesiolysis with transabdominal ultrasonography is a suitable treatment method for Asherman's syndrome. Subfertile patients with Asherman's syndrome undergoing adhesiolysis should be appropriately informed about the risk of associated life-threatening complications and preterm delivery.

UR - http://www.scopus.com/inward/record.url?scp=84886432280&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84886432280&partnerID=8YFLogxK

U2 - 10.1007/s12522-013-0149-x

DO - 10.1007/s12522-013-0149-x

M3 - Article

AN - SCOPUS:84886432280

VL - 12

SP - 159

EP - 166

JO - Reproductive Medicine and Biology

JF - Reproductive Medicine and Biology

SN - 1445-5781

IS - 4

ER -