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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

  1. Intrauterine fibrosis without visible adhesion
  2. Cervical canal adhesion
  3. Uterine cavity adhesion
  4. 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

  1. Uterine balloon sent
  2. Anti- adhesion barriers:- Hyaluronic  acid
  3. Restoring normal endometrium:- Hormonal treatment
  4. Foley’s catheter: used to separate uterine wall.

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