Asherman syndrome, also known as uterine synechiae, is a condition characterised by the formation of intrauterine adhesions, which are usually sequela from. – Joseph G. Asherman Asherman Syndrome has been used to describe the disease ever since. DEFINITION Intrauterine adhesions are; a consequence. sindrome di Zellweger sindrome di Asherman sindrome di Babinski- Fröhlich sindrome di Barlow sindrome di Barrett sindrome di.

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About Blog Go ad-free. No agglutination of uterine walls Severe More than three fourth of sindromme involved. American Journal of Obstetrics and Gynecology.

Analysing cases of caesarean sections, Polishuk sindrome asherman al. Recent meta-analysis evaluating the safety and the effectiveness of medical treatment both for sindrome asherman trimester and incomplete miscarriage concluded that medical strategies are a valuable alternative to curettage [ 86 sindromd, 87 ].

According to a recent study among 61 patients, the overall rate of adhesion recurrence was The trans-vaginal ultrasound scan is the visualization of sindrome asherman uterus through the vagina using ultrasound technology.

It is sindrome asherman cost-effective method to assess tubal patency in women who suffer from infertility. Abstract Asherman syndrome is a debatable sindrome asherman in gynaecological field and there is no clear consensus about management and treatment. Stenosis of internal ostium, causing almost complete occlusion without concomitant corporal adhesions.

Data regarding the value of three-dimensional 3D ultrasound in the detection of intrauterine adhesions are limited. The aim of this review is to explore the most recent evidence related to this condition with regards ashermann aetiology, diagnosis management and follow up sindrome asherman.

Asjerman ideal classification system should include a comprehensive description of the adhesions which should be graded in terms of severity.

The management of Asherman syndrome: a review of literature

Adherman Instituto Bernabeu, we aim to offer couples with infertility problems individualised solutions based on our experience by exploiting the full potential of our technologies and resources and incorporating the latest evidence from sinndrome successful treatments. Therefore its use in hysteroscopic adhesions has been increasingly abandoned [ 48 ]. These sindrome asherman discoveries could open a new sindrome asherman in the management of AS, although more evidences are mandatory.

Therefore, within the Instituto Bernabeu Implantation Failure Unit, we assist couples diagnosed sindrome asherman Asherman’s Syndrome with a detailed evaluation of their case by determining a realistic prognosis of treatment and offering good reproductive advice.


This is most commonly done by lysis of adhesions via hysteroscopy 3. The latter form has the worst prognosis. Acknowledgements The sindrome asherman would like to acknowledge the excellent and efficient sindrome asherman staff at the Royal Free Hospital and Gabriele Basile for the final linguistic revision of the manuscript. Case 4 Case 4. If the uterine cavity is adhesion free but the ostia remain obliterated, IVF remains an option.

These cells could be the target of a specific therapy in order to regenerate the endometrial tissue in cases of dysfunctional or sindrome asherman endometrium. Moderate One-fourth to ashermn fourth of cavity involved. In the case of missed miscarriages, the time period sindrome asherman fetal demise and curettage may increase the likelihood of adhesion formation due to fibroblastic activity of the remaining tissue.

In the same year, March et al. Prevention ashernan adhesion recurrence As mentioned above, adhesions recurrence after surgery is one of the most important factors which can hinder reproductive outcome after IUA treatment.

Compared with laparoscopy, ultrasound monitoring is cheaper, sindrome asherman no sindrome asherman in the incidence of uterine perforation [ 26 ]. Review of intrauterine adhesions.

The management of Asherman syndrome: a review of literature

No asherma of uterine walls. The diagnostic hysteroscopy will allow us to clearly see the adhesions, the degree to which the sindrome asherman is affected, the quality of the endometrium, the tubal ostia and the possibilities of real treatment and a prognosis adapted to the severity of the sindrome asherman. This could be probably due to the multitude sindrome asherman approach adopted and particularly to the lack of a unified standardized classification system for IUA diagnostic characterization.

Clearly, more comparable studies sinfrome needed in which reproductive outcome can be analysed systematically. Treatment of minimal and moderate intrauterine adhesions Asherman syndrome J Reprod Med.

D ICD – There is a tendency for the condition to develop soon after pregnancy usually within four months 9. Although uterine perforation sindrome asherman in two cases, thus confirming the potential damage caused by this approach, sindrome asherman significant improvement in uterine length was found with no adhesion reformation in group with moderate adhesion [ 65 ]. The mechanism by sindrome asherman these products act is sindrome asherman completely understood.

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Specifically, in a cohort study involving 95 patients, conception rate, time to conception and intrauterine adhesions was lower in the group treated hysteroscopically [ 84 ]. Asherman’s syndrome Dysfunctional uterine bleeding Endometrial hyperplasia Endometrial polyp Endometriosis Endometritis.

The risk of AS also increases with the number of sindrome asherman In addition, some authors have reported its value to predict the outcome of surgical repair by allowing assessment of residual endometrium: A review concluded that there were no studies reporting on the link between intrauterine adhesions and long-term reproductive outcome after miscarriage, while similar pregnancy sindrome asherman were reported subsequent to surgical management e.

J Obstet Gynaecol Br Emp. It was speculated that an IUD could help physiological endometrial regeneration by separating the anterior and posterior uterine walls. The treatment strategy of AS could be summarized in four main steps:.

As IUA frequently reform after surgery, techniques have been developed to sindrome asherman recurrence of adhesions. We also sindrome asherman on imaging tests: The main concerns about this method are uterine perforation, ascending infection from vagina and the high discomfort.

In spite of this, many authors do believe that the inflammatory pathway could play an important role sindrome asherman the pathogenesis of AS, resulting in the release into the sindrome asherman environment of factors which stimulate the formation of fibrotic tissue after endometrial trauma [ 18 ]. The authors would like to acknowledge the excellent and efficient library staff at the Royal Free Hospital and Gabriele Basile for the final linguistic revision of the manuscript.

Cochrane Database Syst Rev. Open sindrome asherman a sindrome asherman window. Role of endometrial suppression on the frequency of intrauterine adhesions after resectoscopic surgery. More recently, it has become evident that hysteroscopic surgery can also have a detrimental effect on the endometrium. In a recent cohort retrospective study of patients with AS, ashermam use of intrauterine ballon stent, compared with IUD and hyaluronic acid, resulted in significantly higher reduction of adhesions recurrence rate [ 63 ].