Asherman's syndrome Flashcards
What is Asherman’s syndrome
formation of adhesions / synechiae in the uterus following uterine damage
When does Asherman’s syndrome occur
after dilatation and curettage
uterine surgery
pelvic infection
What are the consequences of endometrial adhesions (3)
menstruation abnormalities
infertility
recurrent miscarriages
To diagnose Asherman’s syndrome adhesions have to be
symptomatic
How does Asherman’s syndrome usually present (3)
secondary amenorrhoea
lighter periods
dysmenorrhoea
How can intrauterine adhesions be diagnosed
hysteroscopy
Hysterosalpingography
Sonohysterography
MRI
what is Sonohysterography
uterus is filled with fluid and a pelvic ultrasound is performed
what is Hysterosalpingography
contrast is injected into the uterus and imaged with xrays
How is Asherman’s syndrome managed
dissection of adhesions during hysteroscopy