Asherman's syndrome

Question 1

What is Asherman’s syndrome

Answer 1

Adhesion (sometimes called synechiae) form within the uterus following damage

Question 2

Asherman’s syndrome causes

Answer 2

Usually occurs after a pregnancy-related dilation and curettage procedure e.g. removing placental tissue
Can occur after uterine surgery
After several pelvic infections
Damage to basal layer of endometrium may cause scar tissue connecting areas of the uterus

Question 3

Asherman’s syndrome complications

Answer 3

Menstrual abnormalities, infertility, recurrent miscarriages

Question 4

Asherman’s syndrome presentation

Answer 4

Woman presents with recent dilation and curettage. Complains of secondary amenorrhoea, lighter periods and dysmenorrhoea
May also complain of infertility

Question 5

Asherman’s syndrome diagnosis

Answer 5

Hysteroscopy - can also treat adhesions
Hysterosalpingography - contrast injected into uterus and imaged with x-rays
Sonohysterography - uterus filled with fluid and USS performed
MRI scan

Question 6

Asherman’s syndrome management

Answer 6

Dissecting adhesions during hysteroscopy (reoccurrence of adhesions common)