Overview

Asherman's syndrome is a condition in which scarring inside the uterus creates intrauterine adhesions or synechiae. It is also known as Fritsch-Asherman syndrome.

Cause and Diagnosis

These adhesions can be the result of a D&C, dilation and curettage, a practice in which the cervix is dilated and the uterine lining is scraped with a curette. This procedure is done after birth or an abortion, to remove remaining placenta, malignant cells, or polyps. These adhesions can also result from surgery to remove fibroid tumors, a myomectomy.

Uterine adhesion can occlude the uterine opening, slowing or bringing to a stop menstrual bleeding, a condition known as amenorrhea. Sufficient damage to the uterus can lead to infertility. To confirm the presence of adhesions, an ultrasound of the uterus is performed, a hysterosonogram. Saline is then injected into the uterus, and the hysterosonogram is repeated. Asherman's is treated by hysteroscopy, the careful excision of adhesions from the uterus.

Sources:

Your Total Health: Asherman's
Asherman's Online
IntegraMed

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