Grade | Extent of intrauterine adhesion |
---|---|
I | Thin or filmly adhesion |
Easily ruptured by hysteroscope sheath alone | |
Cornual areas normal | |
II | Singular firm adhesions |
Connecting separate parts of the uterine cavity | |
Visualization of both tubal ostia possible | |
Cannot be ruptured by hysteroscope sheath alone | |
IIa | Occluding adhesions only in the region of the internal cervical os |
Upper uterine cavity normal | |
III | Multiple firm adhesions |
Connecting separate parts of the uterine cavity | |
Unilateral obliteration of ostial areas of the tubes | |
IIIa | Extension scarring of the uterine cavity wall with amenorrhoea or hypomenorrhoea |
IIIb | Combination of III and IIIa |
IV | Extensive firm adhesion with agglutination of uterine walls |
At least both tubal ostial areas occluded |