Gynecology and Obstetrics

Asherman's Syndrome

Uterine lining is a layer which covers internal surface of the uterus, thickens and regenerates as a result of ovarian hormones during each menstrual cycle and is regularly shed from the body during menstruation in a woman of reproductive age. This region accommodates the baby when a pregnancy occurs and provides the necessary environment for the baby to grow.

If this layer suffers damage for any reason, especially problematic abortion, when the front and back pieces adhere to each other, the region that has adhered cannot be used anymore and be involved in any changes in menstruation cycle.

The most common sing in Asherman's syndrome is a decrease in menstrual flow or no menstruation.

The most common cause of adhesions seen in the uterus are anomalous abortions. Another extremely rare case is tuberculosis of the uterine lining.

In the case of mild adhesions, adhesions can be resolved by placing a coil inside the uterus and administering hormonal therapy for a definite period of time to ensure regeneration of uterine lining.

Today, the most effective treatment of intrauterine adhesions is performed by hysteroscopy.