Ashermans Syndrome Causes, Symptoms, Dignosis and Treatment

Asherman’s syndrome is also known as intrauterine adhesion. It is a condition where the cavity of the uterus develops scar tissue. The symptoms, extent of the adhesions, effect on the uterine cavity and clinical importance varies greatly. Here we introduce Ashermans Syndrome Causes, Symptoms, Dignosis and Treatment.

Ashermans Syndrome introduction

Causes of Ashermans Syndrome

Asherman’s syndrome can occur after uterine surgery. Ashermans-syndrome may be more likely to happen after a pregnancy-related D&C or if an infection is present in the uterus during the time of the procedure.A severe pelvic infection unrelated to surgery may also lead to Asherman’s syndrome. some causes are include:

  • Endometritis caused by tuberculosis or certain other infectious disease.
  • Sporadic inflamation of mucous membrance lining the uterus.
  • Cleaning of the uterine wall
  • Surgical scraping.

Symptoms of Ashermans Syndrome

Ashermans syndrome’s patients have scanty or absent periods, but some have normal periods. Some patients have no periods but feel pain at the time each month that their period would normally arrive. This pain may indicate that menstruation is occurring, but the blood cannot exit the uterus because the cervix is blocked by adhesions. Recurrent miscarriage and infertility could be taken into account as symptoms. Symptoms may be linked to several conditions and are more likely to indicate Asherman’s syndrome if they occur suddenly after a D&C or other uterine surgery.

Diagnosis of Ashermans Syndrome

Ashermans Syndrome can be diagnosed by the below methods.

  • At the MIGS Center, the physician can perform a hysteroscopy in the office in order to directly visualize the uterine cavity and the extent and nature of any adhesions. Depending on the extent and type of scar tissue, it may be possible to break up some of the scar tissue at the time of initial diagnosis.
  • An endometrial biopsy is sometimes performed to sample the lining to the uterus as a way of determining if any normal endometrium is present.
  • Transvaginal ultrasound can be used to evaluate and measure the endometrial stripe (thickness of the endometrial lining).
  • The most common type of adhesions are bands of scar tissue that span from one wall of the uterus to another. Scar tissue is less commonly flat; in this case, the scar tissue can replace the normal lining of the uterus, but the uterine cavity remains open.

Treatment of Ashermans Syndrome

Asherman’s syndrome should be treated if it is causing infertility or amenorrhea. Surgical treatment includes cutting and removing adhesions or scar tissue within the uterine cavity, there are many treatment of ashermans-syndrome are :

Despite a possible prophylaxis, keys to treatment include early recognition and treatment by a very experienced surgeon via hysteroscopy.

Health care provider may place a small balloon inside the uterus for several days, and he or she may prescribe estrogen replacement therapy while the uterine lining heals.

In real life Ashermans is an extremely rare complication of abortion and is virtually unknown in the UK.

Antibiotic treatment may be necessary if infection is identified.