Diagnosis and treatment of intrauterine adhesions

Twenty-four cases of intrauterine adhesions (Asherman's syndrome) were reported. The characteristic clinical picture was amenorrhea of hypomenorrhea accompanied by periodic lower abdominal pain. Intrauterine adhesions were demonstrated by hysterography in 14 cases. Lysis of adhesions was performed in 14 patients through vaginal route and in 3 by abdominal hysterotomy. Cyclic abdominal pain disappeared after treatment in all patients and normal menses were established in 16 cases (94%). In 11 patients with intrauterine adhesions developing after trauma, 3 conceived for 4 times all resulting in full term deliveries of healthy babies. The etiologic factors method of diagnosis and treatment of intra-uterine adhesions and prevention of readhesion are discussed.