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Feb 4, 2013Keywords:
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Intrauterine adhesions at the University of Maiduguri Teaching Hospital, Maiduguri, Nigeria: A 3 year review
Abstract
Context; Menstrual abnormalities and infertility are leading gynaecological complaints which can be caused by intrauterine adhesion, a preventable condition. Hence, the need to know the common aetiological factors in our
environment.
Objective; To determine the mode of presentation, aetiological factors and outcome of treatment of intrauterine adhesions in our institution
Study design, setting; A retrospective analysis of all cases of intrauterine adhesions at the university of Maiduguri teaching hospital from 1st January 2008 to 31st December 2010. The case records of 22 patients were
analysed.
Main outcome measure; Aetiological factors and outcome of treatment in regard to restoration of normal menses and conception.
Results; Menstrual disorder was the most common complaint (90.9%) followed by infertility (86.4%). The most common aetiologic factor was C-section (10; 45.5) followed by abortion (8; 36.3). All patients were treated by adhesiolysis, Foleys catheter insertion and hormonal therapy for three cycles. Restoration of normal menstruation was achieved in 45.5% of cases and 27.3% conceived during the follow up period. No change in menstrual pattern was recorded in 36.4% of cases.
Conclusion; C-section as a cause of intrauterine adhesion may be on the increase and subclinical infection is an important inciting factor.
Keywords; Intrauterine adhesions, aetiological factors, reproductive outcome, Maiduguri.
