Incidence and Risk Factors for Intrauterine Synechiae in Women With Previous Dilation and Curettage

The incidence of intrauterine synechiae after D&C is low, reinforcing the low-risk profile of the procedure, even when sharp curettage is used. However, multiple D&C procedures were strongly associated with an increased risk of synechiae, highlighting the importance of minimizing unnecessary interventions. Additional risk factors include a history of pelvic inflammatory disease and uterine artery embolization. Patients with multiple risk factors should receive comprehensive counseling regarding their elevated risk of developing synechiae.