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 General Gynecology

Asherman syndrome

Asherman syndrome

Uterus
Uterus
Normal uterine anatomy (cut section)
Normal uterine anatomy (cut section)

Definition:

Asherman syndrome is the formation of intrauterine adhesions, which typically result from scars that develop after uterine surgery.

Causes, incidence, and risk factors:

Asherman syndrome is a rare condition. In most cases, it occurs in women who have had several dilatation and curettage (D&C) procedures.

A severe pelvic infection unrelated to surgery may also lead to Asherman syndrome.

Intrauterine adhesions can also form after infection with tuberculosis or schistosomiasis. These infections are rare in the United States, and uterine complications such as Asherman syndrome related to these infections are even less common.

Symptoms:

The adhesions may cause amenorrhea (lack of menstrual periods), repeated miscarriages, and infertility.

However, such symptoms could be related to several conditions. They are more likely to indicate Asherman syndrome if they occur suddenly after a D&C or other uterine surgery.

Signs and tests:

A pelvic exam is usually normal.

Tests may include:


Review Date: 11/8/2006
Reviewed By: Audra Robertson, MD, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, MA. Review provided by VeriMed Healthcare Network.

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