Comparing heparin solution and barrier gel for preventing intrauterine adhesions after surgery
Official title: Intrauterine Adhesions Prevention: the Use of Heparin Solution Compared to Application of Anti-adhesion Barrier Gel After Operative Hysteroscopy
Run by Nadezhda Women's Health Hospital · NCT05257213 · Data updated 2026-11-12
This study is testing whether a heparin solution or a barrier gel is better at preventing scar tissue in the uterus after surgery for women who have had operative hysteroscopy.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 25 Years to 50 Years |
| Sex | Women only |
| Enrollment | 100 (estimated) |
| Sponsor | Nadezhda Women's Health Hospital Academic / other |
| Locations | 2 sites (Sofia, Sofia and 1 other locations) |
| Status | Recruiting |
| Started | February 14, 2022 |
| Main results expected | February 14, 2026 |
| Study ends | February 28, 2026 |
| Registry record updated | May 21, 2025 |
| Trial ID | NCT05257213 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include women undergoing operative hysteroscopy for conditions like infertility, irregular bleeding, or Asherman syndrome.
✕Probably not a fit
Patients with ongoing pregnancy, genital cancer, or pelvic inflammatory disease may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study aims to evaluate the effectiveness of heparin solution versus hyaluronic acid barrier gel in preventing intrauterine adhesions following operative hysteroscopy. Patients undergoing this procedure will receive either treatment immediately after surgery, and their outcomes will be assessed through follow-up hysteroscopy 4 to 8 weeks later. The study will measure the incidence and severity of adhesions, as well as any changes in menstrual patterns and fertility over the following year. Data collected will help determine which method is more effective in reducing post-surgical complications.
Why it matters
Potential benefit: If successful, this study could lead to improved prevention of intrauterine adhesions, enhancing recovery and fertility outcomes for patients.
How similar studies have gone: Previous studies have explored similar interventions, but this specific comparison of heparin and barrier gel is novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * female sex * indication for operative hysteroscopy including one or more of the following: * infertility, * irregular bleeding, * oligo-/amenorrhea, * Asherman syndrome, * G0-G3 fibroids, * dysmorphic uterus. Exclusion Criteria: * ongoing pregnancy, * genital cancer, * pelvic inflammatory disease, * excessive uterine bleeding.
Where it's running
-
Nadezhda Women's Health Hospital
Sofia, Sofia, Bulgaria Recruiting -
Nadezhda Women's Health Hospital
Sofia, Bulgaria Recruiting
Study contacts
- Study coordinator: Georgi Stamenov
- Email: g.stamenov1@abv.bg
- Phone: +359888269839
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Intrauterine Adhesion Prevention With a Uterine Stent After Surgery
This trial tests whether placing a uterine stent after adhesion surgery helps prevent repeat adhesions in women aged 20–40 with intrauterine adhesions.
-
A combined 4D ultrasound, hysteroscopic cold-knife plowing, uterine stent, and traditional Chinese medicine approach for intrauterine adhesions
This project will try a combined care pathway—preoperative 4D ultrasound, hysteroscopic cold-knife adhesion separation, a postoperative uterine stent, and traditional Chinese medicine—to see if it improves outcomes for women aged 18–45 with intrauterine adhesions.
-
Intrauterine Stent Placement After Septum Resection
This trial tests whether placing a small intrauterine balloon stent for 7-10 days after hysteroscopic septum removal helps prevent scar tissue formation in people with a uterine septum.
-
Using Platelet-rich Plasma to Improve Female Fertility
This study is testing whether injections of platelet-rich plasma can help improve fertility in women dealing with issues like poor ovarian response and repeated implantation failure.
-
Comparison of operative hysteroscopy vs vacuum aspiration for first-trimester termination with intrauterine adhesions
In people with early pregnancy and intrauterine adhesions, this study tests whether hysteroscopy with adhesiolysis plus vacuum aspiration is safer or more effective than vacuum aspiration alone for terminating the pregnancy.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.