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Asherman's syndrome

Asherman's syndrome Characteristics and Features

The opening of the uterus is lined by the endometrium. This lining can be shocked, usually following a curettage (D&C) and dilation done following a abortion, miscarriage, or delivery, and then expands intrauterine marks that can destroy the opening to a changeable amount. The entire opening has been scarred and occluded. The endometrium may stop responding to estrogens and rests even with moderately little scars. The patient feels secondary amenorrhea and turn out to be infertile.

Asherman's syndrome Definition

Asherman's syndrome also referred to as uterine synechiae presents a situation distinguished by the occurrence of marks inside the uterine opening.

Asherman's syndrome Diagnosis

The background of a pregnancy incident follow by a D&C resulting to secondary amenorrhea is usual. Imaging by hysterosalpingography or gynecologic ultrasonography will expose the coverage of the scar development. Hormone researches explain typical levels constant with reproductive task. There are ways to decrease the danger of developing Asherman's after a D&C, for instance hormone therapy to results to sloughing off of the uterine lining. A technique that is not effective in diagnosing Asherman's Syndrome is through ultrasound. The most reliable technique is through hysteroscopy others include SHG (sonohysterography) or (hysterosalpingography).

Asherman's syndrome Prognosis

The coverage of scar development is significant. Tiny scars can frequently be cured successfully. Widespread elimination of the uterine opening can involve numerous, surgical interference or may not be correctable. Patients are pregnant after treatment of Asherman's syndrome can have an augmented danger of having a placenta that attacks the uterus extremely, resulting to problems in placental separation following delivery.

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