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Factors affecting reproductive outcome of hysteroscopic adhesiolysis for Asherman's syndrome.
9) also evaluated the rabbit as an experimental model of Asherman's syndrome and tried to induce synechiae using traumatic curettage as a trigger mechanism.
With this model, total IUAs were obtained which showed that fibroblast has a major role in Asherman's syndrome pathology (24).
Unlike all other patients with amenorrhea, patients with Asherman's syndrome do not suffer from anovulation.
A diagnosis of Asherman's syndrome dependent on the presence of an irregular echogenic focus with calcification, especially represents with amenorrhoea or hypomenorrhoea.
Historically, the use of hysterosalpingography (HSG) has been widespread in the diagnosis but hysteroscopy is now the gold standard of diagnosis and treatment of Asherman's syndrome (2).
Asherman's syndrome is a condition with a high impact on female reproduction.
The diagnosis of Asherman's syndrome is suggested by the absence of a normal endometrial stripe on pelvic ultrasound (11), and may be further supported by the absence of withdrawal bleeding to administration of estrogen and then progestin for several weeks.
But it was only thanks to her own persistence that she eventually discovered she had Asherman's syndrome - where scarring in the womb after surgery such as D&C (dilation and curettage) can cause missed periods, miscarriages and infertility if left untreated.
Asherman's syndrome due to post surgical endometrial scarring was responsible for 4% cases of secondary amenorrhea.
Greatest among them are scarring of endometrial cavity with previous caesarean section, uterine curettage, myomectomy, Asherman's syndrome, iatrogenic uterine perforation and advanced maternal age.
When her menstruation did not resume after 3 months, the ObGyn diagnosed Asherman's syndrome.
Other risk factors for placenta accreta include placenta previa with or without previous uterine surgery, prior myomectomy, prior cesarean delivery Asherman's syndrome, submucous leiomyomata, and maternal age older than 35 years.
An aggressively performed D&C resulted in Asherman's syndrome, which caused the miscarriage and ectopic pregnancy.
Intrauterine adhesions have been implicated in infertility, especially when they fill the uterine cavity as in Asherman's syndrome with amenorrhea (4).