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 Female internal reproductive anatomy The uterus or womb is the major female reproductive organ of most mammals, including humans. One end called the cervix, opens into the vagina, and the wider end, called the body of uterus, is connected on both sides with the Fallopian tubes. It comes in a... uterus is lined by the endometrium. This lining can be traumatized, typically after a Dilation and curettage is a gynaecological procedure performed on the female reproductive system. The procedure involves dilating the cervix and inserting instruments to clean out the lining of the uterus while the woman is under an anaesthetic. D&Cs are most commonly performed for the purposes of abortion, but... dilation and curettage (D&C) done after a Miscarriage is the lay term for the natural or accidental termination of a pregnancy at a stage where the fetus is incapable of surviving. The medical term for it is abortion; when the abortion is not deliberately induced, it is termed a spontaneous abortion, so that is a synonym for... miscarriage, Abortion, in its most common usage, refers to the voluntary or induced termination of a pregnancy, generally through the use of surgical procedures or drugs. Medically, the term also refers to the early expulsion of a fetus or embryo by natural causes (spontaneous abortion or miscarriage), which ends one in... abortion, or Childbirth in a hospital. Photo by Ana Nascimento/ABr. Childbirth (also called labour, birth, or parturition) is the culmination of pregnancy, the emergence of a child from its mothers uterus. It is considered by many to be the beginning of a persons life, and hence the opposite of... 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 (or oestrogens) are a group of steroid compounds that function as the primary female sex hormone. They are produced primarily by developing follicles in the ovaries, the corpus luteum and the placenta. Some estrogens are also produced in smaller amounts by other tissues such as liver, adrenal glands and... estrogens and rests. The patient experiences secondary Amenorrhoea (BE) or amenorrhea (AmE) is the absence of a menstrual period in a woman of reproductive age. Physiologic states of amenorrhoea are seen during pregnancy and lactation (breastfeeding). Outside of the reproductive years there is absence of menses during childhood and after menopause. Etymology and definition The term is... amenorrhea and becomes infertile. An artificial form of Ashermans's Syndrome can be surgically induced by uterine Ablation is defined as the removal of material from the surface of an object by vaporization, chipping, or other erosive processes. Often used in the context of laser ablation, a process by which the molecular bonds of a material are dissolved by a laser. Ablation is also used in ablative... ablation in women with uterine bleeding problems in lieu of A hysterectomy is the surgical removal of the uterus, usually done by a gynecologist. Hysterectomy may be total (removing the body and cervix of the uterus) or partial. In many cases, surgical removal of the ovaries (oophorectomy) is performed concurrent with a hysterectomy. Although many hysterectomies are performed via a... hysterectomy.

Diagnosis

The history of a A pregnant woman Pregnancy is the process by which a mammalian female carries a live offspring from conception until it develops to the point where the offspring is capable of living outside the womb. It starts with conception, the process of fertilization to form a zygote, and ends in childbirth... 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 A pregnant woman Pregnancy is the process by which a mammalian female carries a live offspring from conception until it develops to the point where the offspring is capable of living outside the womb. It starts with conception, the process of fertilization to form a zygote, and ends in childbirth... pregnancy after correction of Asherman's syndrome may have an increased risk of having a The placenta is an ephemeral (temporary) organ present only in female placental mammals during gestation (pregnancy). The placenta is composed of two parts, one of which, the chorion, is genetically and biologically part of the fetus, the other part of the mother. It is implanted in the wall of the... placenta that invades the Female internal reproductive anatomy The uterus or womb is the major female reproductive organ of most mammals, including humans. One end called the cervix, opens into the vagina, and the wider end, called the body of uterus, is connected on both sides with the Fallopian tubes. It comes in a... 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.