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

Hello Ratna By going through your history and evaluation of your health status I must say that It sounds like you’re navigating a complex and emotional situation, and it’s great that you’re seeking more information about potential treatment options . In cases of dense intrauterine adhesions, especially when they involve the cervical canal and endometrial cavity, there are indeed advanced techniques that some specialists may use. Here are a few options to consider: 1. Advanced Hysteroscopic Techniques: 2. Laparoscopic Approach 3. Uterine Cavity Reconstruction 4. Specialized Centers and fertility centre I am suggesting you some fertility centre for better evaluation - 1) Dr Prasaan Vij ( st Stephen’s hospital) , delhi 2) indira ivf fertility centre, jaipur

You will get fine soon

Thank you

Addressing complex intrauterine adhesions, especially following conditions like tuberculosis, can indeed present challenges. Modern advanced hysteroscopic techniques do offer some pathways, albeit with their own sets of variables and risks. While partial adhesiolysis can alleviate some of the obstruction, complete removal carries the potential risk of complications like perforation or further adhesion formation, depending on the severity and extent of the adhesions. Recent advancements, though, have focused on improving outcomes in patients with dense adhesions. For instance, some centers employ advanced hysteroscopic techniques with the aid of small-caliber instruments that minimize trauma, coupled with the use of anti-adhesion barriers post-surgery to prevent reformation of adhesions. Adjunctive treatments like intrauterine devices (IUDs) or balloon-like stents may be used to maintain uterine patency during healing. Innovations such as using stem cell therapies are also being explored, albeit mostly in research settings, to potentially improve endometrial regeneration.

Given the complexity and potential variability of both the condition and treatment success, it’s crucial to consult a gynecologist specializing in reproductive surgery, particularly in centers with expertise in managing Asherman’s syndrome or severe intrauterine adhesions. Centers of excellence in reproductive medicine or large teaching hospitals might offer more tailored and innovative approaches. While no specific center comes to mind immediately, you might seek consultation from well-known institutions like CMC Vellore, or Apollo Hospital’s reproductive medicine departments in larger cities, as they often have specialists dealing with complex cases. Prioritizing a second opinion from a specialist who might have access to or experience with the very latest in endoscopic technology and post-operative management strategies might open doors to new possibilities, focusing on personalized assessment and risk mitigation. It’s essential to balance hope with the realistic understanding of the potential and limitations of such procedures, maintaining open discussions about all available reproductive options.