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Asherman Syndrome

Intrauterine adhesions can cause infertility and menstrual disorders.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kadın Hastalıkları ve Doğum department. Book Appointment →

What is Asherman Syndrome?

Asherman syndrome arises when fibrotic bands form within the uterine cavity following trauma to the endometrium. The most common cause is aggressive curettage performed to evacuate retained products of conception; infections and uterine surgery may also contribute.

Clinical features include amenorrhoea, hypomenorrhoea, cyclic pelvic pain from haematometra, infertility and recurrent miscarriage. Diagnosis uses hysterosalpingography, sonohysterography and hysteroscopy — the latter is the gold standard for both diagnosis and treatment.

Treatment relies on hysteroscopic adhesiolysis followed by measures to prevent re-adhesion such as an intrauterine balloon, high-dose oestrogen or hyaluronic acid gel.

Symptoms

Amenorrhoea or markedly reduced menstrual flow
Cyclic pelvic pain
Infertility
Recurrent miscarriage
Placental abnormalities in pregnancy
Dysmenorrhoea

Risk Factors

Previous dilatation and curettage
Postpartum-haemorrhage curettage
Septic abortion
Tuberculous endometritis
Myomectomy and septum resection
Repeated intrauterine surgery

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • When menstruation stops or becomes very light after curettage
  • Cyclic pelvic pain plus infertility
  • Recurrent miscarriage
  • After uterine surgery if symptoms develop

Treatment Methods

01
Hysteroscopic adhesiolysis (gold standard)
02
Postoperative intrauterine balloon to keep cavity walls apart
03
Cyclical high-dose oestrogen for endometrial regeneration
04
Hyaluronic acid gel as an anti-adhesion barrier
05
Repeat hysteroscopy in severe disease
06
Fertility planning after restoration of the cavity

Which Department to Visit?

You can visit our Kadın Hastalıkları ve Doğum department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Kadın Hastalıkları ve Doğum Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.