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Advanced adhesiolysis of dense adhesion in canal and endometrial cavity
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Gynecology & Pregnancy Care
Question #15019
2 hours ago
13

Advanced adhesiolysis of dense adhesion in canal and endometrial cavity - #15019

Ratna

My wife is 30 years old . She is strong and living a normal life and has been diagnosed with primary amenorrhea. She has already completed a six-month course of ATT (anti-tubercular treatment), and her hormonal profile is within normal range. In 2023 she diagnosed through hystero-laparoscopy, dense adhesions were found in cervical canal and endometrial cavity. Partial adhesiolysis was performed, All type of biopsy test done but not found any infection and but doctor (AIIMS RAIPUR) had advised that complete removal could be risky and suggested adoption or surrogacy as safer alternatives. However, we would like to understand if there are any advanced or modern treatment options available that could safely allow complete adhesiolysis or uterine cavity reconstruction, such as advanced hysteroscopic techniques Kindly advise if such options are possible or if you could refer us to any specialized center or expert dealing with complex intrauterine adhesions. We deeply value your guidance in making an informed decision for her future.

Adhesolysis of canal and endometrial cavity
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Doctors’ responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
51 minutes ago
5

Hello dear See after careful evaluation it seems ahesiolysis can be performed in your case for removing thick adhesive lining. I suggest you to please get below tests done for confirmation Pelvic USG Ct scan Mri Urine analysis Afb stain Hsg Usually the procedure is performed by gynecologist or laproscopic surgeon So I suggest you to please consult gynaecologist or laproscopic surgeon in person for better clarity Regards

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