Gynecology, Obstetrics and IVF Specialist Op. Dr. Seval Taşdemir told you how to treat intrauterine adhesions (Asherman’s Syndrome).
Asherman syndrome is popularly known as intrauterine adhesions. These adhesions can be seen in some or all of the uterine cavity. As a result of adhesions, the uterine cavity is blocked. These adhesions can generally occur after surgical interventions applied to the uterus.
Abortion is one of the surgical interventions that cause Asherman syndrome. Infection after abortion or a small piece remaining in the uterus greatly increases the risk of adhesions. The vast majority of careless abortions result in Asherman’s 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 had any surgery. Asherman’s syndrome can be found 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. If women who have not had such a complaint before, show these symptoms as a result of abortion or other intrauterine surgery, they should be treated to a specialist doctor without wasting time.
The most common symptom of Asherman’s syndrome is the sudden cessation of menstrual bleeding. In Asherman syndrome, even if the menstrual bleeding is not completely stopped, it can cause a significant decrease. Inability to conceive and recurrent miscarriages are also among the symptoms of the syndrome. These ailments can easily be confused with any other ailment. 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 according to the amount and size of the adhesion. In mild adhesions, hormone therapy is sufficient to insert a spiral into the uterus and to help regenerate the internal structure of the uterus in this process. However, in more advanced adhesions, surgical intervention is inevitable.
With a thin telescope placed through the cervix, the uterine cavity can be viewed and adhesions can be removed. Estrogen therapy is required for a certain period of time after hysteroscopy. After the operation, an intrauterine device is placed in order to prevent adhesions to occur in the intrauterine cavity. This tool stays in the uterus for two months. In addition, re-adhesions can be prevented with hyaluronic acid gels applied to the uterine cavity.