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Asherman's syndrome or intrauterine synechia is an intrauterine pathology, which is characterized by the formation of numerous synechia, as a result of which the endometrium atrophies and sclerosis. The disease is named after D. Asherman, a gynecologist who described and studied this pathology in detail. In connection with the syndrome, the patient's menstrual cycle is disturbed and infertility develops. The syndrome is one of the most common causes of the development of the uterine form of amenorrhea.
Causes of the syndrome
Factors contributing to the development of the disease are infectious and traumatic agents, as well as neurovisceral causes. However, mechanical damage to the internal lining of the uterus is considered the most common cause. It is possible to injure the endometrium during an abortion, using intrauterine contraceptives and during diagnostic curettage of the uterine cavity. In addition, uterine bleeding, polyps, myomectomy, metroplasty, and conization of the cervix can damage the endometrium.
Intrauterine adhesions can develop against the background of genital tuberculosis. This diagnosis is usually confirmed by a biopsy of the endometrium of the uterus or bacteriological examination of menstrual blood. In addition, the endometrium can be adversely affected by the drip of solutions into the uterus, the passage of radiation therapy aimed at tumors of the reproductive organs. Frozen pregnancy can also cause the development of intrauterine adhesions.
Symptoms of intrauterine synechia
Menstrual irregularities by the type of algomenorrhea (painful menstruation)
Disorders of the menstrual cycle by the type of hypomenorrhea (reduction in the volume of menstrual flow), oligomenorrhea (reduction in the duration of menstruation).
The development of secondary amenorrhea (complete cessation of menstruation after a normally established menstrual cycle).
A hematometra (an accumulation of menstrual flow in the uterine cavity) develops when it grows in the lower part of the uterus if the endometrium continues to function normally in the upper part. Thus, menstrual blood cannot be expelled to the outside.
Habitual miscarriage with early termination.
In most cases, women have some kind of menstrual irregularity, but sometimes there are no visible changes, and the pathology can be detected, for example, during an examination for infertility.
Treatment of Asherman's syndrome
Treatment involves the dissection of synechia during operative hysteroscopy. After the adhesive process is eliminated, the patient is prescribed hormonal therapy, the purpose of which is to restore the function of the endometrium. If infectious diseases are detected, antibiotic therapy is additionally carried out.
The Tashkent clinic Gatling-med, equipped with modern medical equipment and highly qualified gynecologists with significant experience, is ready to consult and provide the necessary treatment at affordable prices and in the shortest possible time.