This is the condition where uterine -wall may get adherent antero- posteriorly leading to mild to sever problem. Adhesiolysis will restore menses and reproductive function. IUCD may be inserted post operatively to prevent re-adhesions.
Some times there is presence of uterine septum which is congenital abnormality. Resection of septum will improve implantation index and will take care of recurrent pregnancy losses.
Polyps are projecting pathology in the uterine cavity. They can be removed hysteroscopicaly.
Sub mucous varity of fibroid (less then 3 cm size and not more than 2 fibroid) can be removed through hysteroscope.
One can removed fetal born lost IUCD and calcified foci through hysteroscope.
Corneal block of the fallopian tube can be negotiated with guide wire and tuble patency can be established
Some times uterine cavity volume is less because of adhesions. Releasing these adhesions from fundus (fundal metroplasty) and from lateral wall (lateral metroplasty) will improve the chance of future pregnancy.
Occasionally tuberculous like infection may cause patchy endometrial development. To place the embryo at best location. Hysteroscopic guidance may be of great help.