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Related Experiment Videos

Asherman syndrome caused by schistosomiasis

A Krolikowski1, K Janowski, J V Larsen

  • 1Eshowe Hospital, Eshowe, South Africa.

Obstetrics and Gynecology
|May 1, 1995
PubMed
Summary

Schistosomiasis, a parasitic infection, can cause Asherman syndrome and infertility. This case highlights its role in secondary amenorrhea following childbirth, emphasizing the need for consideration in endemic regions.

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Area of Science:

  • Reproductive Medicine
  • Infectious Diseases
  • Gynecology

Background:

  • Asherman syndrome, characterized by uterine adhesions, can stem from endometrial infections.
  • Tuberculosis and schistosomiasis are identified as rare infectious etiologies.

Observation:

  • A 27-year-old woman presented with secondary amenorrhea post-cesarean delivery.
  • Laparoscopy revealed pelvic adhesions and ovarian schistosomiasis.
  • Endometrial biopsy confirmed uterine cavity obliteration.

Findings:

  • Ovarian and endometrial schistosomiasis were diagnosed in a patient with secondary amenorrhea.
  • The patient exhibited symptoms consistent with Asherman syndrome.
  • Hormone levels remained within normal ranges, suggesting an infectious cause.

Implications:

  • Schistosomiasis is a potential cause of Asherman syndrome and infertility in endemic areas.
  • Early diagnosis and treatment of schistosomiasis are crucial for reproductive health.
  • Clinicians should consider parasitic infections when evaluating infertility and amenorrhea.

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