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Womed Leaf Price Guide for Asherman Prevention

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Hyaluronic acid gels do not consistently hold a stable intrauterine separation window long enough for severe Asherman syndrome prevention after adhesiolysis. In moderate to severe intrauterine adhesions, the practical need is usually about 7 days of physical barrier support, while HA gels are prone to early fluid migration and rapid loss of cavity coverage within roughly 24 to 48 hours; by contrast, degradable polymer films such as Womed Leaf are designed to maintain mechanical separation during the critical healing phase. Buyers comparing gel versus film should evaluate barrier duration, evidence in severe IUA, and total treatment pathway cost rather than unit price alone.

What it does and who it is for

Asherman syndrome, or intrauterine adhesions, is a uterine cavity scarring condition that can follow hysteroscopic or other intrauterine procedures. The commercial decision is not whether to use a “gel” in general, but whether the adhesion-prevention method can physically keep the uterine walls separated long enough for early endometrial repair. That is why severe or moderate cases often require a barrier that behaves like a stable film, not a fast-dispersing lubricant. For fertility centers, gynecology practices, and hospital procurement teams, this becomes a device-selection and risk-management question as much as a clinical one.

Why hyaluronic acid fails

Hyaluronic acid gel is biologically familiar and widely studied, but it is still a gel. In the uterine cavity, fluid movement, gravity, and post-procedure drainage can reduce coverage before the wound-healing window has closed. The key limitation is not whether HA has any anti-adhesion effect, but whether it remains in place long enough in severe disease, where the adhesion bed is larger and the remodeling period is more demanding. A comparative cohort study found that intrauterine balloon and IUD strategies outperformed hyaluronic acid gel in preventing adhesion reformation, with no significant difference between HA gel and control in that dataset. That is the failure mechanism in plain terms: insufficient structural persistence.

Why film works better

Womed Leaf is a degradable polymer film made from poly(D,L-lactide) and poly(ethylene oxide), with published materials and regulatory documents describing it as a sterile resorbable adhesion barrier. The architecture matters: PLA provides the structural scaffold, while PEO contributes swelling and cavity coverage behavior, allowing the device to unfold into a barrier rather than disperse like a gel. Public trial descriptions also state that the film is intended to maintain separation for about 7 days, which better matches the healing interval needed after adhesiolysis. In procurement terms, that is the difference between passive coating and active physical isolation.

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Evidence and trial metrics

The PREG-2 randomized, double-blind, multicenter trial enrolled 160 women with moderate to severe intrauterine adhesions and found that Womed Leaf improved the reduction in AFS adhesion score versus control, with absence of adhesions on second-look hysteroscopy in 41% versus 24% and an odds ratio of 2.44. Another published product summary describes the result more simply as about 2.4 times greater chance of being free from IUA, which is a useful shorthand for buyers screening options. This does not mean every case will respond identically, but it does show that the film platform has a stronger evidence position in severe disease than HA gel alone. For buyers comparing devices, that is a major procurement signal.

Revenue and cost impact

Asherman prevention devices are usually justified through downstream procedural value: fewer repeat adhesiolysis cases, less follow-up uncertainty, and lower risk of having to escalate to another barrier method. Public pricing is not standardized, so buyers should expect quote-based procurement rather than fixed retail pricing. In practical budgeting, HA gel may appear cheaper per unit, but film-based barriers can reduce the hidden cost of retreatment, added second-look procedures, and avoidable inventory waste. If you are comparing supply options, request a quote from ALLWILL for current pricing, availability, and condition details on the barrier format you plan to stock.

Why the higher-ticket option matters

The higher-ticket rationale is not that film is “newer”; it is that it addresses the real engineering requirement more directly. Severe IUA prevention needs cavity separation during the first healing days, not merely transient viscosity at the moment of insertion. A product that maintains form, expands to cover the cavity, and then resorbs in a controlled way better matches that need than a gel that may disperse quickly. Buyers should also consider workflow efficiency: a stable barrier can simplify standardization across surgeons and reduce variation in post-op management. ALLWILL can help clinics and importers compare these options with a documentation-first sourcing process.

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Practical decision framework

Decision point Hyaluronic acid gel Womed Leaf film Buyer takeaway
Barrier duration Often short, with early migration risk Designed to maintain separation for about 7 days Severe cases usually favor film
Mechanism Viscous coating Mechanical cavity isolation Film better matches wound-healing window
Severe IUA evidence Mixed; one cohort found no significant benefit vs control Randomized trial showed better outcomes Evidence tilts toward film in severe disease
Structural stability Weak against fluid washout PLA/PEO degradable polymer architecture Structure is the core differentiator
Procurement risk Cheaper, but higher chance of underperforming the intended role Higher unit cost, but stronger fit for complex cases Compare total pathway cost, not sticker price

Compliance and asset protection

Womed Leaf’s public regulatory documents describe it as a sterile, single-use, resorbable polymeric film composed of PLA and PEO. Buyers should verify the current regulatory status for their region, the approved indication, and the exact configuration on the label before purchase. If a unit is certified pre-owned or transferred through a secondary channel, the same diligence applies to packaging integrity, shelf life, and storage history. ALLWILL’s Smart Center model is useful here because it focuses on matching buyers with verified inventory and the documentation needed for internal review.

Procurement risks to avoid

The main risk is buying a low-cost gel because it looks simpler, then discovering it does not deliver the physical isolation window needed in severe adhesions. Another risk is confusing “anti-adhesion” as a broad label with “adequate for severe IUA,” which is not the same thing. Buyers should also avoid assuming that all resorbable barriers are interchangeable; the polymer structure, expansion behavior, and evidence base matter. In short, price the clinical problem, not just the package.

ALLWILL Expert View
The core procurement error in Asherman prevention is treating barrier choice as a commodity purchase. In mild cases, many products can appear acceptable on paper, but severe intrauterine adhesions are different because the cavity needs stable separation through the early healing phase. That is a mechanical requirement, not a branding preference. When buyers examine hyaluronic acid gels, they should ask one question first: does this product maintain its shape and position long enough to protect the uterine walls during the critical window? If the answer is uncertain, the apparent savings can disappear quickly through repeat procedures, additional follow-up, or a replacement barrier. The best purchasing process documents the label claim, shelf life, sterile barrier, regulatory status, and trial evidence before the order is released. That is exactly the kind of verified sourcing support ALLWILL is built to provide.

Frequently Asked Questions

Why do hyaluronic acid gels underperform in severe Asherman prevention?
Because the key issue is not just anti-adhesion chemistry, but duration of physical separation. In severe cases, the cavity needs a stable barrier for several days, while HA gel can migrate or degrade too quickly to maintain coverage.

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What does PREG-2 actually show?
PREG-2 was a randomized, double-blind, multicenter trial in 160 women with moderate to severe IUA. Womed Leaf improved second-look hysteroscopy outcomes, including 41% absence of adhesions versus 24% in controls, with an odds ratio of 2.44.

What is the polymer basis of Womed Leaf?
Published regulatory and trial materials describe it as a degradable film made from PLA and PEO. PLA gives the structure, while PEO supports swelling and coverage behavior, which is why the device acts more like a barrier film than a gel.

How should buyers compare cost?
Compare total pathway cost, not only unit cost. A cheaper gel may look attractive upfront, but if it does not hold the uterine cavity open long enough, the clinic may absorb more repeat procedures and follow-up burden. For a quote and supply review, request pricing from ALLWILL.

References

  1. Effectiveness of degradable polymer film in the management of severe or moderate intrauterine adhesions (PREG-2): a randomized, double-blind, multicenter, stratified, superiority trial
  2. A comparison of intrauterine balloon, intrauterine contraceptive device and hyaluronic acid gel in the prevention of adhesion reformation following hysteroscopic surgery for Asherman syndrome: a cohort study
  3. Womed Leaf® product summary
  4. Womed Leaf Resorbable Adhesion Barrier SSED
  5. Womed Leaf Degradable Polymer Film technical summary
  6. Protocol synopsis for PREvention of Intrauterine Adhesion After Hysteroscopic Surgery With Novel deGradable Film
  7. Hysteroscopic and ultrasound evaluation of a novel degradable polymer film for intrauterine use
  8. Asherman’s syndrome: current perspectives on diagnosis and management
  9. Complications – Asherman syndrome overview
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        14.  NON-SOLICITATION. Buyer agrees not to solicit or hire any personnel of MRP involved with the delivery of the Services during the provision of such Services and for twelve (12) months after the completion of such Services; provided, however, that Buyer may hire individuals employed by MRP who, without other solicitation, respond to advertisements or solicitations aimed at the general public.

        15.  EQUITABLE REMEDIES. Buyer acknowledges and agrees that (a) a breach or threatened breach by Buyer of any of its obligations under Sections 13 or 14 would give rise to irreparable harm to MRP for which monetary damages would not be an adequate remedy and (b) in the event of a breach or a threatened breach by Buyer of any such obligations, MRP shall, in addition to any and all other rights and remedies that may be available to MRP at law, at equity, or otherwise in respect of such breach, be entitled to equitable relief, including a temporary restraining order, an injunction, specific performance, and any other relief that may be available from a court of competent jurisdiction, without any requirement to post a bond or other security, and without any requirement to prove actual damages or that monetary damages will not afford an adequate remedy. Buyer agrees that Buyer will not oppose or otherwise challenge the appropriateness of equitable relief or the entry by a court of competent jurisdiction of an order granting equitable relief, in either case, consistent with the terms of this Section 15.

        16.  INDEMNIFICATION. Buyer agrees to indemnify, defend and hold harmless MRP and its directors, shareholders, employees and agents (collectively, “MRP Indemnitees”) against any liability, damage, loss or expense incurred by or imposed in connection with any claims, suits, actions, demands or judgments arising out of (a) any breach or non-fulfillment of any representation, warranty or covenant set forth in this Agreement by Buyer or its directors, managers, employees or agents (collectively, “Buyer’s Agents”); (b) any negligent act or omission or willful misconduct of Buyer or Buyer’s Agents in connection with this Agreement; (c) any bodily injury, death of any person or damage to real or tangible personal property caused by Buyer or Buyer’s Agents, including the use of unauthorized parts in or service of the Equipment; (d) any failure by Buyer or Buyer’s Agents to comply with any applicable laws; (e) any fraud or other intentional acts by Buyer or Buyer’s Agents; and (f) the use or operation of the Equipment, including, without limitation, any medical and/or surgical procedures performed by Buyer, and any of Buyer’s Agents, using the Equipment unless said damages are determined by a court of competence jurisdiction to be solely by the gross negligence of MRP or solely as result of a breach by MRP of the limited warranties contained herein.

        17.  DEFAULTS; REMEDIES. Notwithstanding anything herein to the contrary, should Buyer fail to pay for the order or any other amount, in whole or in part, when due or perform its other obligations under this Agreement or as otherwise mutually agreed in writing between Buyer and MRP (each, a “Default”), then MRP may take any and all actions available under law or equity to collect said amounts with a ten (10) day prior written notice, including, but not limited to, enforcing its security interest, accelerating the payment of and declaring immediately due and payable any unpaid balance of the order, referral to outside collection agencies and/or commencement of legal action. MRP’s rights shall be cumulative, and it shall not be required to have attempted to realize upon to the Equipment before taking any other collection actions. MRP may require that Buyer assemble and return any or all of the Equipment to MRP and, in the event Buyer fails to return such Equipment peaceably, enter upon the premises where such Equipment is located, with or without legal process, and repossess such Equipment. Upon a Default, Buyer agrees to pay upon MRP’s demand: (i) all costs and expenses incurred by MRP or its assignee in connection with the enforcement of any remedies, including all expenses incurred in connection with the return, sale, release or other disposition of the Equipment, including attorneys’ fees and other costs incurred by MRP or its assignee in enforcing or defending its rights and remedies under this Agreement and any other written agreement between Buyer and MRP.

        18.  COMPLIANCE WITH LAWS. Buyer shall (a) carry out the transactions contemplated by this sale and deal with the Equipment in conformity with all applicable laws, rules and regulations of all government authorities, including, without limitation, export laws, (b) obtain all permits and licenses required in connection with the purchase, shipment, installation or use of the Equipment, and (c) be solely responsible to fully understand and comply with laws, rules and regulations. Any information provided is as a convenience only.

        19.  FURTHER ASSURANCES. Upon MRP’s reasonable request, Buyer shall, at its sole cost and expense, execute and deliver all such further documents and instruments, and take all such further acts, necessary to give full effect to this Agreement.

        20.  ASSIGNMENT; SUCCESSORS AND ASSIGNS. Buyer cannot delegate any duties nor assign any rights or claims under this Agreement without MRP’s prior written consent, and any such attempt or assignment shall be void. In the event that Buyer finances its acquisition of any Equipment with a third party, Buyer may direct MRP to transfer title of such Equipment to such third-party financing company, with all remaining terms and conditions of this Agreement remaining in full force and effect. This Agreement is binding on and inures to the benefit of the parties to this Agreement and their respective permitted successors and permitted assigns.

        21.  NO THIRD-PARTY BENEFICIARIES. Subject to Section 16, this Agreement benefits solely the parties to this Agreement and their respective permitted successors and assigns, and nothing in this Agreement, express or implied, confers on any other person any legal or equitable right, benefit, or remedy of any nature whatsoever under or by reason of this Agreement.

        22.  GOVERNING LAW; VENUE. The application of the UN Convention on Contracts for the International Sale of Goods is expressly excluded. The parties agree that any and all claims, demands, disagreements, controversies or disputes arising out of or relating to this Agreement and any agreement or document delivered in connection herewith (collectively, “Claims”) shall be governed by and construed in accordance with the laws of the State of Utah and adjudicated exclusively in the state and federal courts located in or nearest to Summit County, Utah, which courts shall have the sole and exclusive jurisdiction and venue for adjudication of all Claims. The parties hereby agree upon, consent and stipulate to the jurisdiction and venue of the aforementioned courts for the adjudication of all Claims, to the exclusion of all other courts, forums and venues whatsoever.

        23.  NON-DISPARAGEMENT. Buyer shall not disparage MRP or MRP’s trademarks, websites, products or services, or display any such items in a derogatory or negative manner on any website or in any public forum or press release.

        24.  NOTICES. Any notice, demand, or communication required, permitted or desired to be given hereunder shall be deemed effectively given when personally delivered, when sent by electronic means, when received by overnight courier, or when mailed by prepaid, certified or registered mail, return receipt requested, addressed to the other party at its address set forth on the Quote or to such other address that the receiving party may designate from time to time in accordance with this Section 25.

        25.  PUBLIC ANNOUNCEMENTS. Unless otherwise stated herein, neither party shall issue a press release or otherwise advertise, make a public statement or disclose to any third-party information pertaining to the relationship arising under this Agreement, the existence or terms of this Agreement, the underlying transactions between MRP and Buyer or agent for Buyer or refer to the other party in relation to this Agreement without the other party’s prior written approval.

        26.  ENTIRE AGREEMENT; ADDITIONAL OR INCONSISTENT TERMS. Subject to Section 32, this Agreement constitutes the sole and entire agreement between the parties hereto relating to the subject matter hereof, and any unincorporated representation, affirmation of fact, course of prior dealings, promise or condition in connection therewith, or usage of the trade, shall not be binding on either party. Terms and conditions set forth which differ from, conflict with or are not included in this Agreement shall not be part of any agreement between MRP and Buyer unless both parties specifically accept such terms and conditions in writing.

        27.  WAIVER. No waiver under this Agreement is effective unless it is in writing and signed by the party waiving its right. Any waiver authorized on one occasion is effective only in that instance and only for the purpose stated and does not operate as a waiver on any future occasion. None of the following constitutes a waiver or estoppel of any right, remedy, power, privilege or condition arising from this Agreement: any failure or delay in exercising any right, remedy, power or privilege or in enforcing any condition under this Agreement; or any act, omission or course of dealing between the parties.

        28.  SURVIVAL. Subject to the limitations and other provisions of this Agreement, the representations and warranties of Buyer contained herein shall survive the expiration or earlier termination of this Agreement for a period of twelve (12) months after such expiration o termination and (b) this Section 29 and Sections 10, 12, 13, 14, 15, 16, 17, 21, 22, 23, 24, 26, and 32 of this Agreement, as well as any other provision that, in order to give proper effect to its intent, should survive such expiration or termination, shall survive the expiration or earlier termination of this Agreement. All other provisions of this Agreement shall not survive the expiration or earlier termination of this Agreement.

        29.  RELATIONSHIP OF PARTIES. Nothing in this Agreement creates any agency, joint venture, partnership or other form of joint enterprise, employment or fiduciary relationship between the parties. Neither party has any express or implied right or authority to assume or create any obligations on behalf of or in the name of the other party or to bind the other party to any contract, agreement or undertaking with any third party.

        30.  HEADINGS. The headings in this Agreement are for reference only and do not affect the interpretation of this Agreement.

        31.  ORDER OF PRECEDENCE. In the event of conflict between the Quote, a written agreement by MRP, and these Terms, the order of priority shall be: (1) the written

agreement by MRP, if only if executed by an MRP Officer, (2) the Quote and (3) these Terms, and only to the extent of the direct conflict. Notwithstanding the foregoing, MRP shall not be bound by, and specifically objects to, any terms, conditions or other provisions, both written and oral, which are different from, in addition to or inconsistent with the provisions of this Agreement which are set forth in any purchase order, receipt, acceptance, confirmation, correspondence or otherwise of, or by, Buyer. Fulfillment of Buyer’s order shall not constitute acceptance of any of Buyer’s terms and conditions and does not serve to modify or amend the terms and conditions contained herein.

        32.  SEVERABILITY. If any part of this Agreement is held to be void, illegal or unenforceable, then it shall be deemed to be severed from this Agreement and the remaining provisions shall continue in full force and effect; provided, however, that if any fundamental term or provision of this Agreement is held to be void, illegal or unenforceable, the remainder of this Agreement shall be unenforceable. Upon a determination that any term or provision is void, illegal or unenforceable, the parties shall negotiate in good faith to modify this Agreement to effect the original intent of the parties as closely as possible in order that the transactions contemplated hereby be consummated as originally contemplated to the greatest extent possible.