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Asherman's syndrome; uterine adhesions; uterine scarring; uterine synechiae

Etiology: - generally a result of overly vigorous curettage Pathology: - intrauterine adhesions (scarring) with destruction of the endometrium Clinical manifestations: - amenorrhea to normal menstrual periods - menstrual pain without vaginal bleeding Special laboratory: - hysteroscopy Radiology: - transvaginal ultrasound diagnostic [2] Management: - surgery - hysteroscopy +/- laparoscopy

General

syndrome gynecologic disease

References

  1. Saunders Manual of Medical Practice, Rakel (ed), WB Saunders, Philadelphia, 1996, pg 389
  2. Medical Knowledge Self Assessment Program (MKSAP) 17, 18. American College of Physicians, Philadelphia 2015, 2018.
  3. Conforti A, Alviggi C, Mollo A, De Placido G, Magos A. The management of Asherman syndrome: a review of literature. Reprod Biol Endocrinol. 2013 Dec 27;11:118. Review. PMID: 24373209 Free PMC Article
  4. Asherman's Syndrome http://www.ashermans.org/