ABSTRACT
PIP: Intrauterine adhesions are frequent in women with puerperal or post-abortion curettages. In rare cases there are adhesions due to inflammatory processes, particularly due to endometrial tuberculosis. The adhesions occur in patients in the menacme, without any endocrinological complaints. The disease affects women of different ethnic backgrounds; however this study is comprised of white females. A histopathological exam of the endometrial material revealed different histological varieties of the uterine wall including fibrous leukocytic exudate. In 89 cases studied, an increase was noted in the vascularity of fragments of the miometrium and fibrosis as well as changes of the miometrium in accordance with the cycle. These findings indicate that there are no endocrinological changes in women with intrauterine adhesions. Regarding treatment carried out by means of curettages, IUD insertion and estrogen treatment, good results were obtained in the normalization of the menstrual cycle in more than 60.8% cases. However, only 3 women were able to get pregnant, 2 had spontaneous abortions, and only 1 achieved a full term gestation.^ieng
