A clinicohysteroscopic scoring system of intrauterine adhesions

We propose a new scoring system for intrauterine adhesions (IUA) that may p redict the prognosis after hysteroscopic adhesiolysis. We analyzed hysteros copic findings and clinical data of patients diagnosed as having IUA by rev iewing previously published hysteroscopic classifications of IUA, The data were subjected to evaluation according to the most popular classifications in addition to the proposed classification using a scoring system for diffe rent parameters. The results obtained by the proposed scoring system matche d well with other classifications regarding grade I and III IUA, But in the cases with moderate IUA (grade II), there was overlap between the classifi cations (sensitivity 58.3%) which can be attributed to considering the mens trual and reproductive history. Further studies are needed to assess its pr ognostic value. Copyright (C) 2000 S. Karger AG, Basel.