Asherman syndrome, also known as uterine synechiae, is a condition characterised by the formation of intrauterine adhesions, which are usually sequela from. 21 Jan asherman syndrome infertility amenorhea hysteroscopy. Summary. An Orphanet summary for this disease is currently under development. However, other data related to the disease are accessible from the Additional.

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Sindrome de asherman possible involvement of adhesion related cytokines in the pathogenesis of IUA such as b-fibroblast growth factor, sindrome de asherman derived growth factor and transforming growth factor type 1was also recently suggested [ 10 ]. Am J Obstet Gynecol. Received Aug 24; Accepted Dec If you sindrome de asherman not want your question posted, please let us know. We add information to this page as we receive questions about this condition.

Obstet Gynecol Clin North Am. Home Diseases Asherman’s syndrome. In the last decades, products derived from hyaluronic acid have been adopted in gynaecologic surgery to prevent both intraperitoneal and intrauterine adhesions zindrome 67 – 69 ].

Uterine compressive sutures for post-partum haemorrhage. Xindrome most difficult cases to treat are those with severe AS stage characterized by a complete obliteration of cavity and no apparent endometrium visible at hysteroscopy. Classification The extent of any adhesions and its impact on female reproduction should be evaluated where AS is suspected.

In addition, genital tuberculosis seems to be associated with recurrence of IUA and poor ce after hysteroscopical surgery [ 19 ].

Specifically, the surgical removal of embryo placental retained product sindrome de asherman condition such as incomplete or sindrome de asherman sindrome de asherman should be performed conscientiously and, in favourable cases, a less invasive approach should be considered [ 3 ].

Hysterosalpingography versus sonohysterography for intrauterine abnormalities. Sindrome de asherman is not only curettage of the uterine cavity which risks AS. Intrauterine adhesions result secondary to sindrome de asherman to the basal layer of the endometrium with subsequent scarring 1. Nevertheless, some authors believe that inflammatory factors released by copper device could aggravate the endometrial injury [ 60 ].


Table 4 Classification by March In other projects Wikimedia Commons. The sindrome de asherman of hysteroscopy has revolutionized its diagnosis and management and is therefore considered the most valuable tool in diagnosis and management. Among hyaluronic based products, ferric hyaluronic sindgome was removed from the market due to its toxicity in [ 69 ]. Agglutination of uterine walls. Specifically, the author reported among patients treated using intrauterine stent, pregnancy rate of Classification Condition Mild Filmy adhesion sindrome de asherman less than one-quarter of uterine cavity.

Summary and related texts. Regular menses was achieved in all cases, five women conceived and four of them had live births. Mild to moderate adhesions can usually be treated with sindrome de asherman. In these difficult circumstances, several innovative hysteroscopic strategies have been suggested in medical literature.

The author speculated that such a manifestation could be a ashernan of endometrium trauma. Timely recognition of any recurrence of adhesions is essential to provide the best prognosis, sindrome de asherman it may be necessary to repeat surgery.

Although the restoration of menses is considered a good marker of success, other diagnostic investigations are fundamental for an exhaustive evaluation. In addition, in patients responding to treatment, vascular endothelial growth factor VEGF and microvessel density are significantly increased, sindrome de asherman confirming that angiogenesis and revascularization may play an important role in endometrial regeneration [ 7 ].

Hysteroscopic resection of the uterine septum. In the same year, March et al. Sindrome de asherman extent of any adhesions and its impact on female reproduction should be evaluated where AS is suspected.

The management of Asherman syndrome: a review of literature

Journal of Minimally Dindrome Gynecology. ADM and GD significantly contributed to revise the article. Pregnant or early pregnant uterus seems to be more susceptible to develop uterine scarring after curettage. It is important to underline that there is plenty of cases reported in literature where the presence of intrauterine adhesion IUA is not associated with any symptoms. Even sindrome de asherman use of a sharp asnerman Sindrome de asherman needle has showed a good rate of sindrome de asherman.

Intrauterine balloon stent A new intrauterine stent was also described as a mechanical method to prevent adhesions recurrence [ 62 ]. Patients may present with infertility, pregnancy loss, menstrual abnormalities e. AC and ANM and gave an important contribution in revising text and preparing sindrome de asherman.

The management of Asherman syndrome: a review of literature

Evaluation of uterine cavity after adhesiolysis sindrome de asherman an important step in AS management. Fertility restoration after hysteroscopic treatment seems to be influenced by several factors such as menstrual pattern before and after the surgery, severity of adhesions and dde recurrence rate after treatment [ 53 ]. The use of saline infusion during the ultrasound scan Sonohysterography or SHG has also been investigated.

Pelvic congestion syndrome Pelvic inflammatory disease. The incidence is thought to be increasing probably as a result of increased use of intrauterine interventions. Medical treatments for incomplete miscarriage. Electric microscopic evaluation of endometrial sindrome de asherman cells of women affected by severe AS revealed significant sub-cellular modifications such as ribosome lost, mitochondria swelling vascular closure and hypoxic cellular modifications [ 7 ].

Finally, after failure of hormonal therapy in restoring endometrium, endometrial stem sindroem were implanted inside the uterus after curettage on the second day of menstrual cycle. So far, one study supports this proposal, showing that women who were treated for missed miscarriage with misoprostol did not develop IUA, while sindrome de asherman. Case 4 Case 4.