What is Asherman syndrome?
Asherman's syndrome is a gynecological condition characterized by changes in the menstrual cycle. Patients experience decreased menstrual flow, increased abdominal cramping and pain, eventual cessation of the menstrual cycle (amenorrhea), and in many cases infertility. Most often, these symptoms result from severe inflammation of the uterine lining (endometriosis), which is caused by the development of scar tissue that fuses the walls of the uterus to one another, thereby reducing the volume of the uterine cavity (intrauterine adhesions and synechiae). This connective tissue is called - adhesions and can be of different densities. Usually it is not blood supply and according to medical standard it is classified in different degrees of severity from 1st to 4th, the last degree being the most severe pathology - adhesive uterine walls and blocked fallopian tube openings.
Endometrial scarring and intrauterine adhesions can also occur frequently as a result of surgical scraping or cleaning of tissue from the uterine wall (dilation and curettage), endometrial infections (e.g., tuberculosis), or other factors.
Intrauterine surgery to remove fibroids or correct structural defects as well as the use of IUD birth control devices can also lead to infertility caused by this problem.
Endometriosis caused by tuberculosis infection as well as other infectious diseases can also be causes of Asherman's syndrome.
Signs and symptoms of Asherman's syndrome
Most patients with Asherman syndrome have infrequent or absent menstrual flow with significant pain. This may occur as a result of cervical obstruction due to adhesions. Recurrent miscarriages and/or infertility can also be signs of this syndrome.
Diagnosis
Asherman syndrome is relatively easy to diagnose. An imaging study of the uterus with a small tube inserted into the cervix is performed to diagnose the disease. However, many doctors, to save time, use a small catheter inserted into the uterus, which prevents adequate diagnosis. The gold standard for diagnosing Asherman's syndrome is the use of a hysteroscope, which directly images the inside of the uterus.
Standard therapies for treatment
At this stage of learning about this problem, there is no single established treatment approach. The following methods are used to deal with this problem individually, according to the stage of the disease:
- Surgical removal by hysteroscopy, often in combination with laparoscopy;
- Inserting a medical balloon into the uterine cavity, which prevents the formation of adhesions;
- Antibiotic treatment, accompanied by anti-inflammatory drugs;
- Estrogen therapy;
- Physiotherapy;
With timely diagnosis and proper treatment of Asherman syndrome, the prognosis of pregnancy and successful fetal pregnancy is quite possible. Experts advise women not to worry and seek medical intervention at the first symptoms.[/vc_column_text][vc_empty_space height=“10″][vc_column_text]За повече информация, ние, Медикъл Караджъ сме на ваше разположение.
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