The study aimed to assess how common intrauterine synechiae (scar tissue) are after women undergo medically-treated postpartum hemorrhage (PPH) and how different treatment methods might influence this condition.
Conducted at Angers University Hospital, the study involved 83 women who experienced PPH, with diagnostic hysteroscopy performed 12 weeks after delivery to check for synechiae.
Findings showed that 24% of participants had mild synechiae, with second manual uterine examinations and bimanual massage identified as key risk factors, indicating a need for more research on the long-term effects of these complications.
The updated clinical practice guidelines aim to improve the first-line management of infertility in couples by revisiting existing recommendations based on recent research.
A systematic review was conducted by expert working groups on five major themes, resulting in 28 PICO-formulated questions addressing both male and female infertility assessments, environmental factors, ovulation induction, and reproductive surgery techniques.
Key recommendations include tailored fertility evaluations based on the woman's age, specific tests for both partners, and the dismissal of certain outdated procedures, with an emphasis on evidence-based approaches to optimize infertility treatment.