Asherman’s Syndrome (intrauterine Adhesions)

Asherman’s Syndrome (Intrauterine Adhesions) – Overview (200 Words)
Asherman's Syndrome is a gynecological disorder characterized by the formation of scar tissue (adhesions) within the uterine cavity. These adhesions can partially or completely obliterate the uterine space, leading to menstrual irregularities and fertility issues. The condition most commonly develops after trauma to the uterine lining, particularly following procedures such as dilation and curettage (D&C), cesarean section, or uterine surgeries. Infections like genital tuberculosis may also contribute, especially in certain regions.

Women with Asherman’s syndrome may present with reduced menstrual flow (hypomenorrhea), absence of menstruation (amenorrhea), recurrent miscarriages, or infertility. The severity of symptoms often correlates with the extent of adhesions. In some cases, cyclic pelvic pain may occur due to trapped menstrual blood.

Diagnosis is typically confirmed through hysteroscopy, which allows direct visualization of the uterine cavity and adhesions. Imaging techniques such as hysterosalpingography or saline sonography may also aid in assessment.

Treatment primarily involves hysteroscopic adhesiolysis, a minimally invasive procedure to remove scar tissue and restore the uterine cavity. Postoperative hormonal therapy and preventive measures help reduce recurrence. Early diagnosis and management significantly improve menstrual function and reproductive outcomes.