Asherman's syndrome

Question 1

What is Asherman’s syndrome

Answer 1

Formation of adhesions within the uterus due to damage

Question 2

What are some possible causes of Asherman’s syndrome?

Answer 2

Pregnancy-related dilatation and currettage procedure (E.g. removing retained POC)

Uterine surgery

Severe pelvic infection

Question 3

How does Asherman’s syndrome cause gynaecological problems

Answer 3

Adhesions can form physical obstructions and distort the pelvic organs, resulting in menstrual abnormalities, infertility and recurrent miscarriages

Question 4

How does Asherman’s syndrome present?

Answer 4

• Secondary amenorrhoea
• Significantly lighter periods
• Dysmenorrhoea
• Infertility
• Following dilatation curettage, uterine surgery or endometritis

Question 5

How is Asherman’s syndrome diagnosed?

Answer 5

• Hysteroscopy (Gold standard)
• Hysterosalpingography
• Sonohysterography
• MRI scan

Question 6

How is Asherman’s syndrome managed?

Answer 6

Dissecting the adhesions during hysteroscopy