6 Oct Asherman syndrome, which is also referred to as intrauterine adhesions or intrauterine synechiae, occurs when scar tissue (adhesions) forms. Asherman syndrome, also known as uterine synechiae, is a condition characterised by the formation of intrauterine adhesions, which are usually sequela from. 21 Jan asherman syndrome infertility amenorhea hysteroscopy.

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Finally, the widely used classification developed on behalf of the American Fertility Society took into account the extent of the disease, menstrual pattern and the morphological feature of the adhesions. Asherman Syndrome – StatPearls. Puerperal endometritis and intrauterine adhesions. A wide range of sibdrome or electric equipment has been adopted during hysteroscopic adhesiolysis.

Role of endometrial suppression on the frequency of intrauterine adhesions after resectoscopic surgery. As IUA frequently reform after surgery, techniques have been developed to prevent recurrence of adhesions. The aim of this review is to explore the most recent evidence related to this condition with regards to aetiology, diagnosis management ds follow up strategies.

Asherman syndrome: MedlinePlus Medical Encyclopedia

The highest frequency of this condition was reported in Israel, Greece and South America as well as in various European countries sinerome 5 ]. Usually, AS is characterized by filling defects described as homogeneous opacity surrounded by sharp edges [ 21 ].


All women resumed a normal menstrual pattern and six of them become pregnant [ 77 ]. In an attempts to estimate the prevalence of AS in the general population, it was found in 1. The stress of re can often be helped by joining a support group where members share common experiences and problems.

Hysteroscopy is the gold standard for diagnosis. The chances of conceiving and delivery after surgery are lower in patients with moderate to severe disease but may improve after surgery if the cavity can be reconstructed and menses recur. Even in women who conceive after AS treatment, a scrupulous surveillance should be carried out for the high risk of placental anomalies [ 3562 ] and much effort should be devoted to the prevention. No agglutination of uterine walls. Hysteroscopic treatment of intrauterine adhesions is safe and effective in the restoration of normal menstruation and fertility.

There isn’t any one cause of AS. The material is in no way intended to replace professional medical care by a qualified specialist and should not be used as a basis for diagnosis or treatment.

The main concerns about this method are uterine perforation, ascending ce from vagina and the high discomfort. Conclusions AS is a condition with a high impact on female reproduction.

Asherman syndrome

Please review our privacy policy. Role of uterine adhesions in the cause of multiple pregnancy losses. Fluoroscopically guided hysteroscopic division of adhesions in severe Asherman syndrome. Recent meta-analysis evaluating the safety and the effectiveness of medical treatment both for first trimester and incomplete miscarriage concluded that medical strategies are a valuable alternative to curettage [ 8687 ].


It can be impossible to dissect the adhesions with standards hysteroscopic techniques. Asherman syndrome is a debatable topic in gynaecological field and there is no clear consensus about management and treatment.

Orphanet: Sindrome di Asherman

Moderate One-fourth to three fourth of cavity involved. This lining is composed of two layers, the functional layer adjacent to the uterine cavity which is shed during menstruation and an underlying basal layer adjacent to the myometriumwhich is necessary for regenerating the functional layer. No data about IUA recurrence was reported. Sindromee, the treatment of the severe and dense adhesion ahserman more challenging: Synonyms or Alternate Spellings: Stillman and Asarkof [ 11 ].

The management of Asherman syndrome: a review of literature

Ultrasound is not a reliable method of diagnosing Asherman’s Syndrome. This is an open access article distributed under the terms of the Creative Commons Attribution License http: According to this group, clinical history plays a more important role than the extent of the adhesions.

Tubular cavity sound less than 6. May be seen as bands traversing through the endometrial cavity.