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Cervico-isthmic adhesions are always problematic, as we never know what's really behind, especially in post ménopausal patients. Negotiating adhesions is somehow like dealing with humans or life opportunities: is all about respect: we "knock at the door with scissors", if it opens, even slightly, we might push a little bit. If we are on the right track, the way will easily open more and more. If not, if it doesn't open, it means we are not on the right path (or with the right person/ right opportunity): pushing will just cause troubles both to the other one and to ourselves. If things don't flow naturally, the biggest mistake would be to force. Instead, STOP, go back a little bit, turn our back on the "closed door" (= respect), and try anywhere else near. This is a non edited short hysteroscopy video of post menopausal bleeding in a patient presenting with more or less extended cervico-isthmic adhesions.