Ashermans Syndrome

Information and facts about Eponymous diseases.

Asherman's syndrome , also called uterine synechiae , presents a condition characterized by the presence of scars within the uterine cavity.

Features

The cavity of the uterus is lined by the endometrium . This lining can be traumatized, typically after a dilation and curettage (D&C) done after a miscarriage , abortion , or delivery , and then develops intrauterine scars which can obliterate the cavity to a varying degree. In the extreme, the whole cavity has been scarred and occluded. Even with relatively few scars, the endometrium may fail to respond to estrogens and rests. The patient experiences secondary amenorrhea and becomes infertile. An artificial form of Ashermans's Syndrome can be surgically induced by uterine ablation in women with uterine bleeding problems in lieu of hysterectomy .

Diagnosis

The history of a pregnancy event followed by a D&C leading to seconday amenorrhea is typical. Imaging by gynecologic ultrasonography or hysterosalpingography will reveal the extent of the scar formation. Hormone studies show normal levels consistent with reproductive function.

Treatment

Operative hysteroscopy is used for visual inspection of the uterine cavity and dissection of scar tissue.

Prognosis

The extent of scar formation is critical. Small scars can usually be treated with success. Extensive obliteration of the uterine cavity may require several surgical interventions or even be uncorrectable. Patients who carry a pregnancy after correction of Asherman's syndrome may have an increased risk of having a placenta that invades the uterus more deeply, leading to complications in placental separation after delivery.

History

It is also known as Fritsch syndrome, or Fritsch-Asherman syndrome per the individuals who described it, Heinrich Fritsch and Joseph G. Asherman .

Back to Eponymous diseases index page

Can't find what you are looking for?
Use our site search facility...

Home I Search Site I Site map I Conditions I Symptoms I News Archive I Forum I Contact us I About us I Access Keys

All information published on this web site is for information purposes only. The content of this web site should not be used for a conclusive diagnosis or for choosing a treatment. The content on this site has been provided as a guideline and general information it is not intended to replace professional medical care. In all serious cases it is advisable to recieve attention from a qualified medical practitioner. All text is available under the terms of the GNU free documentation license.