Comparing vaginal repair methods for cesarean section scar defects

Comparison of the Therapeutic Effects of Vaginal Repair With Leuprorelin and Vaginal Repair in the Treatment of Cesarean Section Scar Defect

Not applicable Interventional Xinhua Hospital, Shanghai Jiao Tong University School of Medicine · NCT05206682

This study is testing if giving Leuprorelin injections to women after vaginal surgery for cesarean section scar defects can help them heal better by delaying their periods.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment94 (estimated)
Ages18 Years to 50 Years
SexFemale
SponsorXinhua Hospital, Shanghai Jiao Tong University School of Medicine Academic / other
Locations1 site (Shanghai, Shanghai Municipality)
Trial IDNCT05206682 on ClinicalTrials.gov

What this trial studies

This study investigates the effects of using Leuprorelin, a GnRH-a, to postpone menstruation after vaginal repair in women with cesarean section scar defects (CSD) complicated by adenomyosis. Participants will undergo vaginal excision and suture of the CSD, with one group receiving Leuprorelin injections while the other group will not. The study aims to assess whether delaying menstruation improves the healing prognosis of the scar over a six-month follow-up period.

Who should consider this trial

Good fit: Ideal candidates are women diagnosed with cesarean section scar defects complicated by adenomyosis and experiencing abnormal uterine bleeding.

Not a fit: Patients with malignant tumors, severe medical problems, or those who are pregnant will not benefit from this study.

Why it matters

Potential benefit: If successful, this approach could enhance healing outcomes for women suffering from cesarean section scar defects and adenomyosis.

How similar studies have performed: While the use of GnRH-a in similar contexts has shown promise, this specific approach is relatively novel and has not been extensively tested.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Clearly diagnosed with CSD complicated with adenomyosis
2. Experiencing clinical features of abnormal uterine bleeding, prolonged menstrual flow (the duration of menstruation is more than 10 days).
3. The thickness of the remaining muscular layer of CSD was less than 3 mm.
4. Normal range of blood sugar and insulin
5. No serious medical problems (important viscera function in the normal range).
6. uterine fibroids no more than 5cm
7. Sign the informed consent.

Exclusion Criteria:

1. Indefinite diagnosis.
2. Malignant tumors.
3. With severe medical problems (severe liver disease, kidney disease, respiratory diseases, heart disease or uncontrolled diabetes, epilepsy, etc., dysfunction of important organs).
4. Pregnant.
5. Mental diseases.
6. Allergy to the any ingredients of Leuprorelin
7. Unwilling to comply with the research plan.

Where this trial is running

Shanghai, Shanghai Municipality

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Cesarean SectionDehiscenceCesarean Section Scar DefectZoladexvaginal repair
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.