We present a study of 37 women who underwent uterine compression suture for postpartum hemorrhage, with 13 postoperative assessments by hysteroscopy. Synechia occurred in seven patients, of whom three had Asherman syndrome (23% of women who desired pregnancy and had hysteroscopic evaluation) that could not be corrected.

We are writing in reply to the comments raised by Dr. Sentilhes on our recently published article (1). We much appreciate the remarks made by a team who have been working on surgical treatment to control severe postpartum hemorrhage and especially on uterine-sparing procedures (2, 3). Our purpose was mostly to highlight the potential mid- and long-term effects of uterine compression sutures on fertility.