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Asherman'S Syndrome

Overview

Asherman's syndrome is a condition in which uterine walls get adhered to one another. In other words, the condition can be defined as presence of fibrosis and adhesions within the uterine cavity. The condition is rare and normally found in those women who have had gone through numerous curettage and dilatation (D&C) procedures.


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Causes

The condition can be caused by a number of factors. The factors that cause the condition are development of scars after uterine surgery, severe pelvic infection; infection takes place after schistosomiasis or tuberculosis, etc.  


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Signs & Symptoms

Some of the common symptoms are no or decreased menstrual flow, infertility and recurrent miscarriages. A fact necessary to disclose is these symptoms can be caused due to some other problem. Therefore, it is necessary to verify it before taking any treatment.

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Prevention

Asherman's syndrome, in most of the cases, cannot be prevented.


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Treatments
Surgery Modern Medicine

Asherman's syndrome can be treated if it is showing symptoms like lack of menstrual period (amenorrhea) or infertility. The condition is treated by surgical measures in which from the uterine cavity, adhesions or scar tissues are cut and removed. The surgery is performed through hysteroscopy, a small instrument and a camera which is placed into the uterus with the help of cervix. After removal of scar tissues, uterine cavity is kept open. A small balloon is placed inside the uterus for a few days and health experts will prescribe replacement therapy of estrogen till the time the uterine lining gets healed.

If the condition is caused by infections that occur after tuberculosis or schistosomiasis, antibiotic treatment is required

Surgery Modern Medicine

Asherman's syndrome can be treated if it is showing symptoms like lack of menstrual period (amenorrhea) or infertility. The condition is treated by surgical measures in which from the uterine cavity, adhesions or scar tissues are cut and removed. The surgery is performed through hysteroscopy, a small instrument and a camera which is placed into the uterus with the help of cervix. After removal of scar tissues, uterine cavity is kept open. A small balloon is placed inside the uterus for a few days and health experts will prescribe replacement therapy of estrogen till the time the uterine lining gets healed.

If the condition is caused by infections that occur after tuberculosis or schistosomiasis, antibiotic treatment is required

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