TREATMENT OF UTERINE ADHESIONS (ASHERMANS SYNDROME)

Sixty-eight cases of intrauterine and endocervical adhesions (Asherman's syndrome) have been treated by dilatation of the cervix, rupture of the adhesions by a blunt curette, and insertion of a Foley catheter, filled with 5 to 10 c.c. of radiopaque medium, into the uterine cavity. Five cubic centimeters of the same medium is injected into the balloon every 5 days, up to a total of approximately 20 c.c. Estrogens or oral progestins are given for a period of 2 to 3 months to induce pseudopregnancy. Among the 68 cases treated, 60 showed either complete or partial restoration of the cavity after completion of treatment. Pregnancy was achieved in 30 cases. Twenty of these pregnancies went to term. © 1969.