Intrauterine adhesions: hysteroscopic diagnosis, classification, treatment, and reproductive outcome.
R F Valle, J J Sciarra
https://pubmed.ncbi.nlm.nih.gov/3381869/Actively Recruiting
Led by Nadezhda Women's Health Hospital · Updated on 2025-05-21
100
Participants Needed
2
Research Sites
2 weeks
Total Duration
This research aims to compare the effects of intrauterine heparin solution versus anti-adhesion hyaluronic acid barrier gel in preventing intrauterine adhesions following operative hysteroscopy. The study focuses on women undergoing this procedure for conditions such as infertility, irregular bleeding, or uterine abnormalities. The goal is to understand how these treatments impact post-surgical complications and fertility outcomes. Participants will receive one of two treatments immediately after operative hysteroscopy either 3 ml of heparin solution containing 5000 IU heparin or 2 ml of a biodegradable anti-adhesion barrier gel. Both treatments are applied directly into the uterine cavity. The study uses a randomized design with single masking to compare these interventions. Women will be followed up with a diagnostic hysteroscopy 4 to 8 weeks after surgery to assess the presence and severity of intrauterine adhesions and determine if further surgical treatment is needed. Data on menstrual patterns and pregnancy success will be collected for up to 12 months. Researchers will monitor outcomes such as adhesion formation, irregular bleeding, and fertility improvement during this period.
CONDITIONS
Heparin Solution Versus Anti-adhesion Barrier Gel for Intrauterine Adhesions Prevention After Operative Hysteroscopy
G
Georgi Stamenov
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Nadezhda Women's Health Hospital
Lead Sponsor
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Duration - Immediate post-operative period
Participants receive either a heparin solution or an anti-adhesion barrier gel applied into the uterine cavity immediately after operative hysteroscopy to prevent intrauterine adhesions.
1 treatment visit (in-person)
Duration - 4 to 8 weeks post treatment
At 4 to 8 weeks after surgery, participants undergo a follow-up diagnostic hysteroscopy to assess the presence and extent of intrauterine adhesions and identify the need for any further operative procedures.
1 follow-up visit (in-person)
Duration - Up to 12 months
Participants are monitored for persistent irregular menstrual bleeding and fertility outcomes for up to 12 months following treatment.
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
PREVENTION
Number of Arms
2
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Lead Sponsor