Ashermans syndrome

Question 1

What is ashermans syndrome? (RF_

Answer 1

Presence of intrauterine adhesions that may partially or completely occlude uterine caviry-
trauma and infection (chlamydia/PID) cause damage- firbosis and adhesion

Unkown epidiemology but 5-40% of dilation and curetage after misscariage

RD -- trauma and infection
endometrial ressection
DC (misscariage, TOP)
Chlamydia/PID
Surgery (c sec, mymoectomy)
endomitriosis

Question 2

Sx and ix and ashermans syndrome

Answer 2

Amenorrhoea is main one
Subfertility
cyclical abdominal pain
no external signs

Ix-
Saline Hysterosonography (HSG), TVUSS,
hysterescopy

Question 3

Mx and complications of ashermans syndrome

Answer 3

Mx- hysterostcopic adhesiolysis + post op copper IUD -> PO oestrogen (3m)- > reassess
(Oestrogen induce endometrial prolif)

complications-
infertility and miscarriage
mestrual distrubances
Abnormal placentation
complication of operation