Complete Information On Asherman’s Syndrome With Treatment And Prevention
The syndrome of Asherman is stipulated by the presence of intrauterine permanent adherence, which erases or entirely the uterus cavity partially. Most commonly, intrauterine adhesions occur after a dilatation and curettage that was performed because of a miscarriage or because of retained placenta with or without hemorrhage after a delivery. Although curettage can cause this condition, it is more likely after uterine surgery, such as myomectomy. In these cases the endometrium, or at least its basal layer, has been removed or destroyed. In rare cases, other infections or radium insertion into the uterus for the treatment of gynecologic cancers can lead to Asherman’s Syndrome. Asherman’s can result in all of the above circumstances. It affects women of all races and ages as there is no underlying predisposition or genetic basis to its development.
Most of the patients with Asherman have scarce or absentee periods but what has normal periods. The adherence sometimes also occurs in other situations, like after election failure, after cesarean section, after uterus surgery, or as a result of basin tuberculosis. Some patients have no periods but feel pain at the time each month that their period would normally arrive. This pain may indicate that menstruation is occuring but the blood cannot exit the uterus because the cervix is blocked by adhesions. These infections are rare in the United States, and uterine complications such as Asherman syndrome related to these infections are even less common. Depending on the degree of severity, Asherman’s syndrome may result in infertility, repeated miscarriages, pain from trapped blood, and high risk pregnancies. There is evidence that left untreated, the obstruction of menstrual flow resulting from scarring can lead to endometriosis.
The adhesions may cause amenorrhea (lack of menstrual periods), repeated miscarriages, and infertility. Reduced or absent menstrual flow,especially after a pregnancy and delivery, a miscarriage or termination of pregnancy or nown elvic infection is the most common ymptom. There is a variant of Asherman’s Syndrome that is more difficult to treat. This condition is called a haematometra and is like a large bruise inside the uterus. Recurrent miscarriage and infertility could also be considered as symptoms. Complications of hysteroscopic surgery are uncommon and include bleeding, perforation of the uterus, and pelvic infection. In some cases, treatment of Asherman syndrome will not cure infertility. An artificial form of Asherman’s syndrome can be surgically induced by endometrial ablation in women with excessive uterine bleeding, in lieu of hysterectomy.
Asherman was considered in under is diagnosed because it usually is the survey arrives by the direct diagnosis process for example ultrasonic wave scan. Most cases of Asherman syndrome cannot be predicted or prevented. Treatment involves surgery to cut and remove the adhesions or scar tissue. This can usually be done with hysteroscopy, which uses small instruments and a camera placed into the uterus through the cervix. In more severe cases, laparoscopy is used in addition to hysteroscopy as a protective measure against uterine perforation. Microscissors are usually used to cut adhesions. Many surgeons prescribe estrogen supplementation to stimulate uterine healing respectively the growth of endometrium and place a splint or balloon to prevent apposition of the walls during the immediate post-operative healing phase. Electrocauterization is not recommended. Antibiotic treatment may be necessary if there is an infection.
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Source: http://www.articlesnatch.com/Article/Complete-Information-On-Asherman-s-Syndrome-With-Treatment-And-Prevention/330754
Frequently Asked Questions
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QUESTION:
Any Cure for Heavy Excessive Uterine / Menses Bleeding?
I know of someone who experience heavy menses / uterine bleeding for years. She will put newspaper or plastic bag on office chair on “flood” days. However, her condition seems to be worsen lately, patches of blood was found on the floor. It is very unsightly and causes disturbance.-
ANSWER:
she needs to see a doctor……….there could be many causes of that and its not healthy or normal
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QUESTION:
Is my life threatened by excessive postpartum uterine bleeding?
This is my 11th day postpartum but my bleeding is still bright red. From what I’ve read it’s supposed to have turned to pink 7-10th days postpartum, and then to colorless afterwards, any bright red blood after the 10th day following delivery should be reported immediately to the health care provider and be treated promptly. Is this true? Any ladies here have survived the bright red blood after the 10th day postpartum? How long did your postpartum bright red blood last? Should I go to the emergency room today? Thanks!-
ANSWER:
I agree- there’s no set time where it stops.More bleeding at this point means you’re probably overdoing it. Get off your feet and rest for a couple of days and see if it eases up.
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QUESTION:
I have pcos. Anyone out there experience excessive uterine bleeding?
Ive been on my period for 6 week now. I’m having a d&c next week. Anyone out there with PCOS, notice it was easier for them to concieve after they had the d&c?-
ANSWER:
Never had a D&C but I’ve heard its just to clean a ladies inside out I don’t really think It’ll help in aid to conceiving with pcos, with pcos the problem is that we don’t ovulate becausse of cycts on the ovaries, in order to get the cycts remove you must undergo surgery.And if your bleeding for 6 weeks its a hormone imbalance ask your dr about a pill call metformin it helps in aid of regulating your cyclles and make bleeding less and ovulating back to normal.
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QUESTION:
excessive/ continuous bleeding?
i was on depo provera from may until august. my period returned in august.l. then after unprotected sex, my period didnt come the next month. all of a sudden 5 days after it was due i had an onset of severe pain in my uterine region, excessive bleeding, massive amounts of pain and lots of clots passed. i went to the er and they didnt even do an exam! then i tried to get an appointment with my doctor who scheduled me for november. im still bleeding 4 weeks later! it felt all to similar to a miscarriage i had back last september, could it have been?-
ANSWER:
Possibly, however, I had many of the same symptoms after I went off depo provera….I had my period for almost 6 months straight!
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QUESTION:
What to do when OB/GYN prescribes a Rx without testing for complications first??
I recently had a baby. I am on Provera due to excessive abnormal uterine bleeding. i was reading up on this particular drug and also talked to my family doctor who both said that I should have had thorough tests completed before I was prescribed this drug. What am I supposed to do if I was never given these test… the drug causes infertility if taken and not needed. thats why im asking!!!
I have known this doctor for awhile and for the most part I trust his judgement but when it comes to my fertility I want the best results. I have seen countless articles and side affects saying this drug can cause infertility.-
ANSWER:
There is a lot of misinformation on the internet regarding this drug, I’ve also read that it can cause infertility, but when I talked to a doctot (whom I trust) they said that was incorrect. Provera is synthetic progesterone and it is used to both induce a period or to help with abnormal bleeding. It all depends on the dosage that you are given and for how long. I’m currently on it to start my menstrual cycle, but a friend is on the same drug to get rid of spotting that has been occurring.
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