Asherman's syndrome

Area of Science:

• Reproductive Medicine
• Gynecology

Background:

• Asherman's syndrome, characterized by intrauterine adhesions (IUA), is increasingly diagnosed.
• It often follows uterine surgery, particularly after curettage of a pregnant uterus.
• Symptoms range from absent or reduced menses to pelvic pain, infertility, and recurrent pregnancy loss.

Purpose of the Study:

• To review the diagnosis and management of Asherman's syndrome.
• To highlight effective treatment strategies and necessary follow-up care.

Main Methods:

• Diagnosis and treatment primarily involve hysteroscopy for intrauterine adhesion (IUA) lysis.
• Surgical techniques include using miniature scissors for adhesiolysis.
• Post-surgical interventions include uterine balloon stenting and estrogen therapy.

Main Results:

• Hysteroscopic adhesiolysis is the standard for diagnosis and treatment.
• Miniature scissors for lysis and uterine balloon stenting appear most efficacious.
• Postoperative estrogen aids endometrial regrowth.

Conclusions:

• Prompt diagnosis and effective hysteroscopic treatment are crucial for Asherman's syndrome.
• Preventing scar reformation and ensuring complete healing are vital before conception.
• Pregnancy management requires monitoring for complications like cervical incompetence and placental issues.