Abstract
The presence of intrauterine adhesions and the association with secondary amenorrhea were first described by Dr. Fritsh in 1894. In 1948, Dr. Joseph G. Asherman published a series of papers describing the etiology, symptoms, imaging findings, and fertility outcomes, and the condition has been known as Asherman’s syndrome (AS) since. Asherman’s syndrome was primarily described as an outcome of trauma to the basal layer of the endometrium, with subsequent formation of fibrotic adhesions leading to either partial or complete obstruction of the cervical canal or uterine cavity resulting in menstrual abnormalities, infertility, or recurrent pregnancy loss [1]. The initial definition of AS included confirmed IUAs with clinical features of amenorrhea, infertility, or recurrent pregnancy loss; however, today the presence of IUAs regardless of additional clinical features is often referred to as AS. For many, the terminologies Asherman’s syndrome (AS), intrauterine adhesions (IUA), and intrauterine synechiae (IUS) are interchangeable.
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References
Yu D, Wong YM, Cheong Y, Xia E, Li TC. Asherman syndrome—one century later. Fertil Steril. 2008;89(4):759–79.
Schenker JG, Margalioth EJ. Intrauterine adhesions: an updated appraisal. Fertil Steril. 1982;37(5):593–610.
The American Fertility Society. Classifications of adnexal adhesions, distal tubal occlusion, tubal occlusion secondary to tubal ligation, tubal pregnancies, mullerian anomalies and intrauterine adhesions. Fertil Steril. 1988;49(6):944–55.
Surgery AEG. AAGL practice report: practice guidelines on intrauterine adhesions developed in collaboration with the European Society of Gynaecological Endoscopy (ESGE). Gynecol Surg. 2017;14(1):6.
Sanad AS, Aboulfotouh ME. Hysteroscopic adhesiolysis: efficacy and safety. Arch Gynecol Obstet. 2016;294(2):411–6.
Bhandari S, Bhave P, Ganguly I, Baxi A, Agarwal P. Reproductive outcome of patients with Asherman’s syndrome: a SAIMS experience. J Reprod Infertil. 2015;16(4):229–35.
Hanstede MM, van der Meij E, Goedemans L, Emanuel MH. Results of centralized Asherman surgery, 2003–2013. Fertil Steril. 2015;104(6):1561-8 e1.
Khan Z, Goldberg JM. Hysteroscopic management of Asherman’s syndrome. J Minim Invasive Gynecol. 2018;25(2):218–28.
Malhotra N, Bahadur A, Kalaivani M, Mittal S. Changes in endometrial receptivity in women with Asherman’s syndrome undergoing hysteroscopic adhesiolysis. Arch Gynecol Obstet. 2012;286(2):525–30.
Guo EJ, Chung JPW, Poon LCY, Li TC. Reproductive outcomes after surgical treatment of Asherman syndrome: a systematic review. Best Pract Res Clin Obstet Gynaecol. 2019;59:98–114.
Deans R, Vancaillie T, Ledger W, Liu J, Abbott JA. Live birth rate and obstetric complications following the hysteroscopic management of intrauterine adhesions including Asherman syndrome. Hum Reprod. 2018;33(10):1847–53.
Roy KK, Baruah J, Sharma JB, Kumar S, Kachawa G, Singh N. Reproductive outcome following hysteroscopic adhesiolysis in patients with infertility due to Asherman’s syndrome. Arch Gynecol Obstet. 2010;281(2):355–61.
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Alonso Pacheco, L., Carugno, J., Timmons, D., Sanchez, M.G. (2021). Complications and Fertility Potential Following Adhesiolysis. In: Manchanda, R. (eds) Intra Uterine Adhesions. Springer, Singapore. https://doi.org/10.1007/978-981-33-4145-6_14
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DOI: https://doi.org/10.1007/978-981-33-4145-6_14
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