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Uterine adhesion

Name: Uterine adhesion
Keywords: 5600, Adult, China, Time Factors, Hormone Replacement Therapy, Uterus, Tissue Adhesions, Gynatresia, Hysteroscopy, Luteal Phase

Is luteal phase prior to follicular phase in uterine adhesiolysis?

descriptionPublicationkeyboard_double_arrow_right Article , Other literature type 17 Sep 2021 English Publisher:Ovid Technologies (Wolters Kluwer Health)Journal:Medicine, volume 100, page e27194 (issn: 0025-7974, eissn: 1536-5964,

Authors: Yilin Fei; Jie Wen; Xingmiao Li; Ning Wang; Mo Chen; Xiuxiu Jiang;

doi: 10.1097/md.0000000000027194

pmid: 34664846

pmc: PMC8448072

Uterine adhesion

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Abstract

Abstract To compare the patients’ outcomes of Asherman syndrome who underwent uterine adhesiolysis in luteal phase or follicular phase. A retrospective cohort study. A tertiary hospital in China. Four hundred sixty-four women suffered intrauterine adhesion who underwent monopolar adhesiolysis from March 2014 to March 2017 were analyzed. One hundred seventy-eight patients underwent operations in follicular phase (OFP) and 286 underwent operations in luteal phase (OLP). Hormone therapy was accompanied with an intrauterine device and a second-look hysteroscopy was performed postoperatively. Endometrial thickness in women was analyzed by a transvaginal 3-dimensional ultrasound examination. Re-adhesion was confirmed by a second-look hysteroscopy 3 months after hysteroscopic adhesiolysis. Pregnancy rate was acquired by questionnaires 3 months after a second-look hysteroscopy. OLP has advantages with thicker luteal endometrium (P = .001), higher pregnancy rates (P < .001), and lower re-adhesion rates (P = 0015) compared to these values of OFP. For Asherman syndrome, our study showed that OLP is more feasible than OFP in intrauterine adhesiolysis.

Related Organizations

Zhejiang Ocean University
China (People's Republic of)
Woman's Hospital
United States

Keywords

5600, Adult, China, Time Factors, Hormone Replacement Therapy, Uterus, Tissue Adhesions, Gynatresia, Hysteroscopy, Luteal Phase, Cohort Studies, Tertiary Care Centers, Follicular Phase, Humans, Female, Intrauterine Devices, Retrospective Studies

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	influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).	Average
	impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.	Average