title: [Future reproductive ability in post-treatment Asherman's syndrome patients].
abstract: BACKGROUND
  Hysteroscopy is the best approach for the management of Asherman syndrome with reproductive purposes, since it allows a quick diagnosis and treatment of partial or total uterine adhesions. However, there are a few studies on the reproductive outcome in patients with Asherman's syndrome.
  
  
  OBJECTIVE
  Evaluate the results of adherenciolisis hysteroscopy in women with Asherman's syndrome.
  
  
  METHODS
  We performed a cohort study of thirty-nine patients diagnosed with Asherman's syndrome and who underwent surgical hysteroscopic adherenciolisis by bipolar energy through the period from 2006 to June 2011.
  
  
  RESULTS
  Thirty-nine cases were reviewed. All patients restored their menstrual cycle in the course of the first three months after surgery. The pregnancy rate after hysteroscopic treatment was 71.7% (28/39), with a son living at home in 28.2% of the cases (11/39). There was no statistical difference to achieve term pregnancy based on a cut-off point at 35 years of age. A history of menstrual pattern before hysteroscopy was associated with perinatal success. All pregnancies were achieved spontaneously within the first year after the procedure.
  
  
  CONCLUSIONS
  Spontaneous pregnancy is possible after hysteroscopic adherenciolisis in Asherman's Syndrome. It confirms the viability of using bipolar energy to restore the size and shape of the uterine cavity with minimal endometrial damage and with an exclusive reproductive purpose.
authors: Instituto Nacional de Perinatología Isidro Espinosa de los Reyes, DF México.
authors: Oliver Paul
authors: OP
authors: Cruz Orozco
authors: Guillermo
authors: G
authors: Castellanos Barroso
authors: Fernando
authors: F
authors: Gaviño Gaviño
authors: Julio
authors: J
authors: De la Jara Díaz
authors: Jorge
authors: J
authors: García Vargas
authors: Armando Miguel
authors: AM
authors: Roque Sánchez
mesh_terms: D000328:Adult; D015331:Cohort Studies; D005260:Female; D005298:Fertility; D006175:Gynatresia / Q000601:surgery*; D006801:Humans; D015907:Hysteroscopy; D011247:Pregnancy / Q000706:statistics & numerical data*; D012189:Retrospective Studies