Lysis of intrauterine adhesions under hysteroscopic control. A report of 25 operations.

Twenty-five women who had intrauterine adhesions were treated under hysteroscopic control and with ancillary medical therapy. Preoperatively, 18 patients complained of amenorrhea secondary to a curettage of a recently pregnant uterus. Following therapy described in this report, 11 of them subsequently conceived, 6 delivered at term, 2 had premature deliveries, and 3 other pregnancies ended in abortions. All patients resumed normal menses following treatment. A system for staging the severity of intrauterine adhesions is suggested so that results of therapeutic regimens can be compared.