Intrauterine device or estrogen treatment after hysteroscopic uterine septum resection

被引:119
作者
Tonguc, Esra Aysin [1 ]
Var, Turgut [1 ]
Yilmaz, Nafiye [1 ]
Batioglu, Sertac [1 ]
机构
[1] Zekai Tahir Burak Womens Hlth Res & Educ Hosp, Dept Reprod Endocrinol, Ankara, Turkey
关键词
Adhesions; Estrogen treatment; Intrauterine device; Hysteroscopic metroplasty; Hysteroscopic uterine septum resection; Pregnancy; MANAGEMENT; INCISION;
D O I
10.1016/j.ijgo.2009.12.015
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective: To investigate the effects on adhesion formation and pregnancy maintenance of an intrauterine device (IUD) and/or estrogen treatment after hysteroscopic septum resection. Methods: After septum resection 100 women received either no treatment, or estrogens, or an IUD, or an IUD plus estrogens (n = 25 per group). Most were later checked hysteroscopically for uterine cavity adhesions. All pregnancies occurring during the study period were recorded. Results: Adhesions developed in 1 of 19 (5.3%) of the untreated women, 3 of 25 (12%) of the women treated with an IUD plus estrogens, 2 of 19 (10.5%) of the women treated with an IUD only, and none of the women treated with estrogens only. None of the differences, however, were significant. Regarding pregnancy, the differences between groups were also not significant. Conclusion: Neither IUD placement, nor estrogen treatment, nor both were found to prevent intrauterine adhesions or facilitate pregnancy after hysteroscopic uterine septum resection. (C) 2010 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:226 / 229
页数:4
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