2011
DOI: 10.1055/s-0031-1272470
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Asherman's Syndrome

Abstract: Asherman's syndrome is being diagnosed with increasing frequency. Although it usually occurs following curettage of the pregnant or recently pregnant uterus, any uterine surgery can lead to intrauterine adhesions (IUA). Most women with IUA have amenorrhea or hypomenorrhea, but up to a fourth have painless menses of normal flow and duration. Those who have amenorrhea may also have cyclic pelvic pain caused by outflow obstruction. The accompanying retrograde menstruation may lead to endometriosis. In addition to… Show more

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Cited by 123 publications
(95 citation statements)
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References 44 publications
(49 reference statements)
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“…In 1948, Asherman described the specific details of the uterine cavity adhesion. Therefore, uterine cavity adhesion related clinical manifestation was also named as Asherman syndrome [14][15][16]. The uterine cavity adhesion was indicated by fibrosis, sparsely glandular, inactive or cystic dilatation and ischemic injury.…”
Section: Discussionmentioning
confidence: 99%
“…In 1948, Asherman described the specific details of the uterine cavity adhesion. Therefore, uterine cavity adhesion related clinical manifestation was also named as Asherman syndrome [14][15][16]. The uterine cavity adhesion was indicated by fibrosis, sparsely glandular, inactive or cystic dilatation and ischemic injury.…”
Section: Discussionmentioning
confidence: 99%
“…Так, доля ВС у пациенток с нарушениями менструального цикла и репродуктивными потерями в анамнезе составляет от 2,8% до 45,5% [3]. В связи с развитием инновационных методов обработки изображения при гистероскопии, которая явля-ется «золотым стандартом» диагностики ВС, частота этого заболевания неуклонно растет и достигает 22% среди бес-плодных пар [4][5][6].…”
Section: практикаunclassified
“…As the damaged endometrium is less responsive to hormone stimulation some authors tried to use high-dose estrogens to stimulate rapid re-generation of endometrium, as well as prolonged usage of oestrogen to enhance continued re-growth of endometrium. Oral progestin has been given in the last few days of oestrogen therapy to induce withdrawal bleeding [ 13 ].…”
Section: Pre-operative or Post-operative Hormone Treatmentmentioning
confidence: 99%
“…Some gynaecologists advocate the use of a specially designed balloon which has a triangular shape instead of a round balloon, as it conforms to the normal shape of uterine cavity and maintains opposing walls apart, especially the margins of the uterine cavity [ 13 ]. The Cook ® balloon is particularly useful after division of intrauterine adhesions, while in cases of adhesions limited to endocervical canal or internal cervical os, a Foley catheter may be more useful.…”
Section: Cook® Balloonmentioning
confidence: 99%