Asherman's syndrome (AS), also known as Intrauterine Adhesions (IUA) or Intrauterine Synechiae, is an acquired uterine condition. It is characterized by the formation of scar tissue (adhesions) inside the uterus and/or the cervix. This syndrome most often develops after a uterine surgery.
In some cases, adhesions occur in a small portion of the uterus and in some the front and back walls of the uterus stick to one another. The extent of the adhesions defines whether the case is mild, moderate, or severe. The adhesions can be thin or thick, spotty in location, or confluent. They are usually not vascular, which is an important attribute that helps in treatment.
Few of the symptoms of Asherman’s Syndrome are mentioned below:
Asherman syndrome is a rare condition which occurs when trauma to the endometrial lining triggers the normal wound-healing process, which may lead to fusion of damaged areas together. The most common causes for the condition are listed below:-
Hysteroscopy is the most reliable method for diagnosis where a doctor can have direct visualization of the uterus. Other methods are Sonohysterography (SHG) and Hysterosalpingogram (HSG). Asherman's Syndrome is usually undetectable by routine diagnostic procedures such as an ultrasound scan.
Asherman's Syndrome can be treated using a surgical procedure known an Operative Hysteroscopy or Hysteroscopic Adhesiolysis. It must be treated by a very experienced surgeon via hysteroscopy (sometimes assisted by laparoscopy).Few surgeons experienced in treating severe Asherman's Syndrome recommend the avoidance of energy sources inside the uterus and prefer to remove scars with scissors rather than using energy-generating instruments such as resectoscopes or lasers which could cause heat scarring or further damage.
One is required to stay in hospital for 2-3 days post surgery, after which patient is discharged. 7-10 days of recuperation may be required.
You can be a candidate for Asherman’s syndrome if :
|Sr No||Name of Procedure||Cost in India (USD)|
|2||Hysteroscopic Adhesiolysis||2500 – 3000|
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