The main objective of this study is to describe the level of expression of the biological factors involved in the formation of adhesions (Transforming growth factor beta, Activin A, inhibin) at the time of a first diagnostic hysteroscopy among women with synechia, another intracavitary disease or no intracavitary disease.
The secondary obectives are: A. For women who are found to have synechia or another intracavitary pathology at the time of resection: To describe the levels of Transforming growth factor beta, Activin A and Inhibin involved in synechia at the time of resection. B. For women who are found to have synechia or another intracavitary pathology at the time of resection:To describe the levels of Transforming growth factor beta, Activin A and Inhibin involved in synechia at the time of a follow-up hysteroscopy following resection. C. For women who are found to have synechia at the time of resection:To describe the change in levels of Transforming growth factor beta, Activin A and Inhibin involved at the time of a follow-up hysteroscopy following resection whether or not the patient converts back to "no synechia". D. For women who are found to have another intracavitary pathology at the time of resection: To describe the change in levels of Transforming growth factor beta, Activin A and Inhibin involved at the time of a follow-up hysteroscopy following resection whether or not the patient converts to "synechia". E. To estimate the intra-individual variation in the measured factors (initial biopsy levels versus levels at time of resection). F. To create an intrauterine map of factor levels according to biopy position (riosteal / medium / proximal) for patients with synechia or another intracavitary pathology at the time of resection and then follow-up hysteroscopy. G. To describe the levels of Transforming growth factor beta, Activin A and Inhibin as a function of pregnancy 6 months after resection. H. Create a tissue bank associated with the study.
Study Type
OBSERVATIONAL
The day of the first diagnostic hysteroscopy an endometrial biopsy is performed (biopsy A1). These biopsies will be used for the evaluation of TGFbeta, Activin A and inhibin. This intervention is required for the observational needs of this study.
Patients will be contacted via telephone 6 months after first hysteroscopy. This intervention is required for the observational needs of this study.
If patients are found to have synechia or another intracavitary pathology, resection is scheduled 1-2 months later. A second endometrial biopsy is performed at this time. This intervention is required for the observational needs of this study.
Institut des Biomolécules Max Mousseron
Montpellier, France
CHRU de Montpellier - Hôpital Arnaud de Villeneuve
Montpellier, France
CHRU de Nîmes - Hôpital Universitaire Carémeau
Nîmes, France
Activin A
Time frame: Day 0 (day of diagnostic hysteroscopy)
Inhibin
Time frame: Day 0 (day of diagnostic hysteroscopy)
Transforming growth factor beta
Time frame: Day 0 (day of diagnostic hysteroscopy)
Diagnosis of synechia or other intracavitary pathology
Time frame: Day 0 (day of diagnostic hysteroscopy)
Activin A
Time frame: 1 to 2 months after diagnostic hysteroscopy (day of resection)
Inhibin
Time frame: 1 to 2 months after diagnostic hysteroscopy (day of resection)
Transforming growth factor beta
Time frame: 1 to 2 months after diagnostic hysteroscopy (day of resection)
Diagnosis of synechia or other intracavitary pathology
Time frame: 1 to 2 months after diagnostic hysteroscopy (day of resection)
Activin A
Time frame: 1 to 3 months after resection (day of follow-up hysteroscopy)
Inhibin
Time frame: 1 to 3 months after resection (day of follow-up hysteroscopy)
Transforming growth factor beta
Time frame: 1 to 3 months after resection (day of follow-up hysteroscopy)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
For patients having had resection, a follow-up hysteroscopy is performed 1 to 3 months later. An endometrial biopsy will be performed at this time. This intervention is required for the observational needs of this study.
Diagnosis of synechia or other intracavitary pathology
Time frame: 1 to 3 months after resection (day of follow-up hysteroscopy)
Pregnancy (yes/no)
Time frame: 6 months