Traumatic Uterine Synechiae: A Common Cause of Menstrual Insufficiency, Sterility, and Abortion

Hysteroscopic findings in women with primary and secondary infertility due to genital tuberculosis

“…It can cause menstrual irregularities, especially oligomenorrhea, hypomenorrhea, or amenorrhea, as well as infertility [3][4][5][6][7]. In cases of endometrial TB, there may be partial or complete destruction of the endometrium causing obliteration of the cavity and intrauterine adhesion [3,5,11,14].…”

“…It is caused by Mycobacterium tuberculosis and is almost always the result of a hematogenous spread from pulmonary or abdominal infection [3,4]. It manifests as menstrual dysfunction (especially oligomenorrhea or amenorrhea), primary or secondary infertility, lower abdominal pain, chronic pelvic pain, and/or a pelvic mass [3][4][5][6][7]. Menstrual dysfunction has been observed even in adolescent girls with pulmonary and extrapulmonary TB [8].…”

Asherman syndrome—one century later

“…Since the first report in 1956 (50), it has been recognized that endometrial tuberculosis may result in severe intrauterine adhesions, often with total obliteration of the uterine cavity and total destruction of the endometrium with resulting amenorrhea and infertility. Among the 1856 cases of Asherman syndrome reviewed by Schenker and Margalioth (28), genital tuberculosis was found in 74 cases (4%).…”

Intracytoplasmic sperm injection following hysteroscopic adhesiolysis in patients with moderate intrauterine adhesions

“…Trauma to the vulnerable endometrium of the gravid uterus causing partial or complete obliteration of the uterine cavity and/or cervical canal is the most common predisposing factor, and the risk is increased in the presence of infection [1]. Less commonly, intrauterine adhesions develop following uterine surgeries such as myomectomy, septoplasty, or other uterine surgeries [2]. Genital tuberculosis can also be the cause.…”