Asherman's Syndrome
Definition
Asherman's syndrome is the presence of intrauterine adhesions that typically occur as a result of scar formation after uterine surgery, especially after a dilatation and curettage (D&C). The adhesions may cause amenorrhea and/or infertility.
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Overview, Causes, & Risk Factors
Asherman's syndrome is a rare condition. In most cases, it occurs after repetitive D&Cs are performed. A D&C may be performed following some miscarriages, in some elective surgical abortions, and to treat certain other problems related to the uterus such as heavy menstrual bleeding.
Asherman's syndrome can also occur after other types of uterine surgery. It may be more likely to happen after a pregnancy-related D&C or if an infection is present in the uterus during the time of the procedure. A severe pelvic infection unrelated to surgery may also lead to Asherman's syndrome.
Intrauterine adhesions can also form after infection with tuberculosis or schistosomiasis. These infections are rare in the United States, and uterine complications such as Asherman's syndrome related to these infections are even less common.
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