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Asherman syndrome - Overview

Definition of Asherman syndrome:

Asherman syndrome is the formation of intrauterine adhesions, which typically result from scars that develop after uterine surgery.

Causes, incidence, and risk factors:

Asherman syndrome is a rare condition. In most cases, it occurs in women who have had several dilatation and curettage (D&C) procedures.

A severe pelvic infection unrelated to surgery may also lead to Asherman 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 syndrome related to these infections are even less common.

Uterus

Normal uterine anatomy (cut section)

Reviewed last on: 10/28/2008
Linda Vorvick, MD, Seattle Site Coordinator, Lecturer, Pathophysiology, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine; and Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Redmond, Washington; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Kodaman PH, Arici A. Intra-uterine adhesions and fertility outcome: how to optimize success? Current Opinion in Obstetrics and Gynecology. 2007; 19(207-214).

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