Gynecology, Obstetrics and In Vitro Fertilization Specialist Op. Dr. Seval Taşdemir explained to you how intrauterine adhesions (Asherman Syndrome) are treated.
Asherman syndrome is popularly known as intrauterine adhesions. These adhesions can be seen in part or all of the uterine cavity. The uterine cavity becomes blocked as a result of adhesions. These adhesions can generally occur after surgical interventions into the uterus.
The primary surgical intervention that causes Asherman syndrome is abortion. Having an infection after an abortion or having a small piece left in the uterus greatly increases the risk of adhesions. The majority of carelessly performed abortions result in Asherman syndrome. Apart from abortion, there is a risk of adhesions in myomectomy and cesarean section operations.
However, Asherman syndrome can also occur in people who have not undergone any surgery. Asherman syndrome can be observed in a large number of patients, especially those with severe pelvic inflammation.
What are the symptoms?
Asherman syndrome usually manifests itself in different ways after abortion. Women who have not had such a complaint before should seek treatment from a specialist doctor without delay if they show these symptoms as a result of an abortion or other intrauterine surgery.
The most common symptom of Asherman syndrome is the sudden cessation of menstrual bleeding. In Asherman syndrome, menstrual bleeding may decrease significantly, even if it does not stop completely. In addition, inability to become pregnant and recurrent miscarriages are among the symptoms of the syndrome. These disorders can easily be confused with any other disorder. Therefore, it may take a long time to be noticed. Diagnosis is made by uterine film (hysterosalpingography) and hysteroscopy.
How is it treated?
The treatment of Asherman syndrome varies depending on the amount and size of the adhesion. In mild adhesions, placing a spiral into the uterus and hormone therapy to help renew the internal structure of the uterus in this process may be sufficient. It is happening. However, in more advanced adhesions, surgical intervention is inevitable.
With a thin telescope placed through the cervix to the area, the uterine cavity can be viewed and adhesions can be removed. After hysteroscopy, estrogen therapy is required for a certain period of time. After the operation, an intrauterine device is placed to prevent adhesions from forming again in the intrauterine cavity. This device remains in the uterus for two months. In addition, re-adhesions can be prevented with hyaluronic acid gels applied to the uterine cavity.
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