Table 3. Criteria Required for Diagnosis of Cesarean Scar Disorder and Conditions That Should Be Ruled Out Before Confirming the Diagnosis.

Diagnostic criteria	RoA, %	Conditions to exclude	RoA, %
Minimum of 3 regular menstrual cycles after CD before diagnosis can be made	93.5	Cervical dysplasia	74.2
A patient needs to be premenopausal	100	Vaginal/uterine infections	74.2
The complaints of a symptomatic niche should start after a CD or should worsen significantly after a CD	80.6	Other uterine intracavitary pathology	93.5
A patient can be cured from a symptomatic niche (this does not mean that all symptomatic niche should be treated)	87.1	Other causes of postmenstrual spotting (such as continuous oral contraceptive use or intrauterine device)	80.6
NA	NA	Anovulatory cycles	100

Abbreviations: CD, cesarean delivery; NA, not applicable; RoA, rate of agreement.