Hysteroscopy pp 691-696 | Cite as

Intrauterine Adhesions: Etiopathogenesis

  • José Luis Metello
  • José Florencio Jimenez


Intrauterine adhesion (IUA) refers to partial or complete adhesions between the uterine walls which might result in several clinical manifestations such as hypomenorrhea, dysmenorrhea, infertility, and pregnancy complications. Adhesions might be the result of the destruction of the lamina basalis of the endometrium that leads to the formation of scar-fibrotic, resulting in the adherence of opposing surfaces of the endometrial lining.

The incidence has been estimated to be around 0.3% in the general population and up to 21% after postpartum curettage. Most cases are related to trauma of the gravid uterus, caused by curettage after miscarriage or delivery. Other causes include myomectomy, endometrial ablation, uterine artery embolization, and tuberculosis.


Intrauterine adhesion Asherman syndrome Synechae Pathogenesis Etiopathogenesis Review Pathogeny 


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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • José Luis Metello
    • 1
    • 2
  • José Florencio Jimenez
    • 3
    • 4
  1. 1.Hospital Garica de OrtaAlmadaPortugal
  2. 2.Ginemed-MaloclinicsLisbonPortugal
  3. 3.Clinica “Leopoldo Aguerrevere”CaracasVenezuela
  4. 4.Unidad de Fertilidad UnifertesCaracasVenezuela

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