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Intrauterine adhesions: Clinical manifestation and diagnosis

Marcelle I Cedars, MD
Amanda Adeleye, MD
Section Editor
Robert L Barbieri, MD
Deputy Editor
Kristen Eckler, MD, FACOG


Intrauterine adhesions (IUAs) are bands of fibrous tissue that form in the endometrial cavity, often in response to a uterine procedure. Disease severity can range from thin strings of tissue to complete obliteration of the cavity. Clinical sequelae include infertility, recurrent pregnancy loss, menstrual abnormalities, and pain. Clinical challenges include primary prevention of adhesions and prevention of recurrent adhesions after surgical treatment.

This topic will discuss the etiology, pathogenesis, clinical presentation, diagnosis, and management of intrauterine adhesions. Related topics on dilation and curettage and postpartum hemorrhage as well as general principles of the evaluation of amenorrhea, infertility, or recurrent pregnancy loss are discussed separately.

(See "Dilation and curettage".)

(See "Overview of postpartum hemorrhage".)

(See "Evaluation and management of secondary amenorrhea".)

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Literature review current through: Nov 2017. | This topic last updated: Sep 19, 2017.
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