Evidence map›Paper›PMID 40672578›Full record

ArticleAmerican journal of translational research2025

Intrauterine adhesion after missed miscarriage evacuation: efficacy of different estrogen doses on incidence and risk factors.

Bianju Xu, Jie Yang, Xue Bai, Chao Liu

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Article in American journal of translational research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Bianju XuDepartment of Gynecology and Obstetrics, The First Hospital of Yulin No. 93 Yuxi Avenue, Yulin 718000, Shaanxi, China.
Jie YangDepartment of Gynecology and Obstetrics, The First Hospital of Yulin No. 93 Yuxi Avenue, Yulin 718000, Shaanxi, China.
Xue BaiDepartment of Gynecology and Obstetrics, The First Hospital of Yulin No. 93 Yuxi Avenue, Yulin 718000, Shaanxi, China.
Chao LiuDepartment of Gynecology and Obstetrics, The First Hospital of Yulin No. 93 Yuxi Avenue, Yulin 718000, Shaanxi, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the efficacy of different doses of estradiol valerate in preventing intrauterine adhesion (IUA) incidence and promoting endometrial recovery after curettage for retained abortion.

methodsA total of 188 patients who underwent Missed Miscarriage (MM) by curettage were retrospectively assigned to three groups based on the preoperative estradiol valerate dosage: Group A (3 mg/day), Group B (5 mg/day), and Group C (no estrogen). Postoperative outcomes, including IUA incidence (assessed by hysteroscopy), endometrial thickness (transvaginal ultrasound), menstrual recovery, and adverse reactions, were compared among groups. Logistic regression and ROC curve analysis were used to identify independent risk factors for IUA.

resultsGroup B showed the lowest IUA incidence (4.84% vs. 7.14% in Group A and 21.43% in Group C, P < 0.001), greater endometrium thickness at 14 days postoperatively, and shorter menstrual recovery time (P < 0.001). Preoperative endometrial thickness < 4 mm and a history of IUA were identified as independent risk factors (AUC = 0.760). The incidence of adverse reactions did not differ significantly among the groups (P > 0.05).

conclusionPreoperative administration of 5 mg/day estradiol valerate significantly reduces IUA incidence and enhances endometrial recovery after curettage. A thin endometrium and prior IUA history are key risk factors for postoperative adhesion formation.

Indexed as

Estrogenintrauterine adhesionsmissed miscarriageuterine evacuation

Identifiers

PMID40672578
PMCPMC12261159

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