Intrauterine device or estrogen treatment after hysteroscopic uterine septum resection

Abstract 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...

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Bibliographic Details
Published in:International journal of gynecology and obstetrics 2010-06, Vol.109 (3), p.226-229
Main Authors: Tonguc, Esra Ayşin, Var, Turgut, Yilmaz, Nafiye, Batioglu, Sertac
Format: Article
Language:English
Subjects:
Adhesions
Adult
Biological and medical sciences
Combined Modality Therapy
Contraceptives, Oral, Combined - administration & dosage
Contraceptives, Oral, Combined - therapeutic use
Drug Combinations
Estradiol - administration & dosage
Estradiol - analogs & derivatives
Estradiol - therapeutic use
Estrogen treatment
Female
Gynecology. Andrology. Obstetrics
Humans
Hysteroscopic metroplasty
Hysteroscopic uterine septum resection
Hysteroscopy - methods
Intrauterine device
Intrauterine Devices
Medical sciences
Norgestrel - administration & dosage
Norgestrel - therapeutic use
Obstetrics and Gynecology
Pregnancy
Pregnancy Outcome
Prospective Studies
Single-Blind Method
Tissue Adhesions - etiology
Tissue Adhesions - prevention & control
Uterus - abnormalities
Uterus - surgery
Young Adult
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Summary:Abstract 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.
ISSN:0020-7292
1879-3479
DOI:10.1016/j.ijgo.2009.12.015