Uterine adhesions most commonly occur when there has been trauma to the uterine cavity. In response to the trauma, scar tissue builds up on the inner walls of the uterine cavity and may bind together, potentially leading to infertility.
Trauma to the uterine cavity can occur during a pregnancy termination, from excessive bleeding after childbirth, through a gynecological condition or following a dilation and curettage outpatient procedure.
Hysteroscope is often the surgical method of treatment once uterine adhesions have been diagnosed. In certain cases laparoscopy may be performed simultaneously to view and protect against perforating the uterus. Data to show that this procedure will decrease the chances of future miscarriages is limited, however, according to the American Society of Reproductive Medicine.
Following a hysteroscope procedure, a physician may recommend the use of hormones, NSAIDS, and in some cases a plastic catheter inside the uterus in order to prevent the reformation of adhesions.
Complications such as preterm labor, placenta and uterine attachment, and third trimester bleeding are more common in pregnancies after hysteroscope has been performed.