Asherman’s syndrome
Asherman’s syndrome is also called intrauterine adhesions. Is an acquired condition in which bands of fibrous tissue formed in the endometrial cavity. There is presence of scar tissue in the uterus. In severe cases, the entire front and back walls of the uterus can fuse together. Adhesions in the uterus can pose a risk to the developing fetus.
Types
- Intrauterine fibrosis without visible adhesion
- Cervical canal adhesion
- Uterine cavity adhesion
- Uterine cavity combined with cervical canal
Causes
- Curettage
- Cesarean section
- IUD Insertion
- Infection
- Congenital anomaly
- Secondary to trauma
Symptoms
- Menstrual disorder
- Sudden weight loss
- Obesity
- Taking the contraceptive pill
- Having severe cramping or pain
- Being unable to get or stay pregnant
Diagnosis
- Bimanual pelvic examination
- Hysteroscopy
- Sonohysterography
Treatment
- Uterine balloon sent
- Anti- adhesion barriers:- Hyaluronic acid
- Restoring normal endometrium:- Hormonal treatment
- Foley’s catheter: used to separate uterine wall.