{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T14:30:18Z","timestamp":1793370618889,"version":"4.5.0"},"reference-count":25,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,5,5]],"date-time":"2013-05-05T00:00:00Z","timestamp":1367712000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Reprod Medicine &amp; Biology"],"published-print":{"date-parts":[[2013,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Most patients with Asherman's syndrome present with infertility and menstrual problems. In this retrospective clinical study, we analyzed patients with Asherman's syndrome who underwent hysteroscopic adhesiolysis to examine their associated symptoms, disease etiologies, and fertility outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Twenty\u2010seven patients with Asherman's syndrome that were diagnosed using hysteroscopy were recruited. The chief complaints were infertility, hypomenorrhea, and amenorrhea. Each case of Asherman's syndrome was classified according to the American Fertility Society classification. Hysteroscopic adhesiolysis was performed in all cases and concomitant transabdominal ultrasonography was conducted in cases with extensive and dense adhesions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were no complications associated with the hysteroscopic procedure. Normal menstrual cycles resumed in all cases. Of the 16 infertile patients, 9 conceived. Three patients achieved term deliveries and one patient is currently pregnant. None of the patients had obstetric complications. Two patients had spontaneous abortions, one had an ectopic pregnancy, one had an abortion at 16 weeks\u2019 gestation due to cervical incompetence, and one had a molar pregnancy and required uterine artery embolization for uncontrolled hemorrhaging during a dilatation and curettage procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Hysteroscopic adhesiolysis with transabdominal ultrasonography is a suitable treatment method for Asherman's syndrome. Subfertile patients with Asherman's syndrome undergoing adhesiolysis should be appropriately informed about the risk of associated life\u2010threatening complications and preterm delivery.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s12522-013-0149-x","type":"journal-article","created":{"date-parts":[[2013,5,4]],"date-time":"2013-05-04T06:32:59Z","timestamp":1367649179000},"page":"159-166","source":"Crossref","is-referenced-by-count":22,"title":["Hysteroscopic adhesiolysis for patients with Asherman's syndrome: menstrual and fertility outcomes"],"prefix":"10.1002","volume":"12","author":[{"given":"Nari","family":"Yamamoto","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Hamanomachi Hospital  3\u20105\u201027 Maizuru, Chuo\u2010ku 810\u20100073 Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reiko","family":"Takeuchi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Hamanomachi Hospital  3\u20105\u201027 Maizuru, Chuo\u2010ku 810\u20100073 Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daisuke","family":"Izuchi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Hamanomachi Hospital  3\u20105\u201027 Maizuru, Chuo\u2010ku 810\u20100073 Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norihito","family":"Yuge","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Hamanomachi Hospital  3\u20105\u201027 Maizuru, Chuo\u2010ku 810\u20100073 Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masahide","family":"Miyazaki","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Hamanomachi Hospital  3\u20105\u201027 Maizuru, Chuo\u2010ku 810\u20100073 Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masafumi","family":"Yasunaga","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Hamanomachi Hospital  3\u20105\u201027 Maizuru, Chuo\u2010ku 810\u20100073 Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katsuko","family":"Egashira","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Hamanomachi Hospital  3\u20105\u201027 Maizuru, Chuo\u2010ku 810\u20100073 Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yousuke","family":"Ueoka","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Hamanomachi Hospital  3\u20105\u201027 Maizuru, Chuo\u2010ku 810\u20100073 Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshihito","family":"Inoue","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Hamanomachi Hospital  3\u20105\u201027 Maizuru, Chuo\u2010ku 810\u20100073 Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,5,5]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2006.06.035"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471\u20100528.1948.tb07045.x"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471\u20100528.1950.tb06053.x"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2007.06.034"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0028\u20102243(95)02315\u2010J"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0412.2001.801103.x"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0015\u20100282(99)00532\u20104"},{"key":"e_1_2_6_9_1","first-page":"553","article-title":"Hysteroscopic management of Asherman's syndrome","volume":"57","author":"Yasmin H","year":"2007","journal-title":"J Pak Med Assoc."},{"key":"e_1_2_6_10_1","doi-asserted-by":"crossref","unstructured":"The American Fertility Society classifications of adnexal adhesions distal tubal occlusion tubal occlusion secondary to tubal ligation tubal pregnancies M\u00fcllerian anomalies and intrauterine adhesions. 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