Abstract
EDITORIAL COMMENT: These cases suggest that hysteroscopic adhesiolysis resulted in restoration of menstruation (Cases 1 and 3) and a normal shaped uterine cavity (Cases 1–3) albeit at the price of uterine perforations (Case 3). Pregnancies after treatment of intrauterine adhesions have a high risk of complications including placenta accreta (Case 3). Elsewhere the author has reported a high incidence of abnormal cornual ostia in patients with infertility but also in women having elective sterilization and presumably normal fertility (Aust NZ J Obstet Gynaecol 1989; 29: 4:425–427). It seems that hysteroscopy offers greater precision than other methods in assessment of the intrauterine anatomy but we require much more information to interpret the significance of intrauterine adhesions seen at hysteroscopy in infertile patients.
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