title: [Treatment of uterine synechiae without hysteroscopy in a semiurban setting in Cameroon].
abstract: We evaluated the outcome of treatment of uterine synechiae (or adhesions, also known as Asherman syndrome) by cervical dilatation and sequential estrogen and progestogen administration for three months. This retrospective cohort study examined records of 86 women with infertility or menstrual disorders or both and treated from October 2004 to November 2011 for synechiae diagnosed by hysterosalpingography. The data analyzed included age, presenting complaint, and treatment outcome. During the study period, 86 women were seen for uterine synechiae but only 81 files could be included. The patients' mean age was 25.52 (range: 19-40 years), with 37% in the age group of 25-29 years. Of these 82 women, 71 reported menstrual disorders and 60 infertility. After treatment, 11/60 (18%) became pregnant and 35/71 (49%) recovered normal menstrual profiles. The reference treatment for uterine synechiae is hysteroscopy, which yields good results. In poor settings, however, hysteroscopy remains inaccessible, and the old method of cervical dilation and sequential estrogen and progestogen therapy is an acceptable alternative.
authors.affiliation: Gynécologie-obstétrique, hôpital régional de Limbe, Mile One, Limbe, Cameroun.
authors.forename: R
authors.initials: R
authors.lastname: Tchounzou
authors.affiliation: Gynécologie-obstétrique, hôpital de district de Logbaba, Douala, Cameroun.
authors.forename: M
authors.initials: M
authors.lastname: Ngono
authors.affiliation: Département d'imagerie médicale, faculté de médecine et des sciences biomédicales, Yaoundé, Cameroun.
authors.forename: B
authors.initials: B
authors.lastname: Moifo
authors.affiliation: Département de gynéco-obstétrique, faculté de médecine et des sciences biomédicales, Yaoundé, Cameroun.
authors.forename: R Enow
authors.initials: RE
authors.lastname: Mbu
mesh_terms: D000028:Abortion, Induced / Q000009:adverse effects; D000328:Adult; D000568:Amenorrhea / Q000209:etiology; D002163:Cameroon; D002585:Cesarean Section / Q000009:adverse effects; D004106:Dilatation / Q000295:instrumentation; D004967:Estrogens / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000209:etiology; D011372:Progestins / Q000627:therapeutic use; D012189:Retrospective Studies; D000267:Tissue Adhesions / Q000209:etiology / Q000628:therapy; D014591:Uterine Diseases / Q000209:etiology / Q000628:therapy*; D055815:Young Adult
chemical_list: D004967:Estrogens; D011372:Progestins
keywords: Asherman syndrome; Cameroon; cervico-uterine dilation; hysterosalpingography; infertility; uterine synechiae