What is Asherman's Syndrome?
Asherman's Syndrome is a condition in which the woman is no longer menstruating because the uterus has developed adherents in the cavity. That originates from a womb that is related to a pregnancy. Consider a curtailment for abortion or miscarriage, or a maternity leave due to placenta arrests. It never occurs spontaneously.
How to diagnose Asherman's Syndrome in women?
The diagnosis is to be made with hysteroscopy, looking into the uterus. This usually goes outpatient. In half of the cases, we can immediately cut away the adherents. The other half is helped on the OK. After treatment we leave a copper syringe and give some extra female hormone for six weeks. After six weeks the syringe is removed, followed by a control hysteroscopy two weeks later. If all is right, these women can simply get pregnant, even if they have an increased chance of the occurrence of the complaints.
What causes Asherman's Syndrome in women?
These women often have problems with placental tissue. It seems that the maternity tissue does not go well and after the curettage there are often the adherences. Or if the separation between the uterine wall and placenta is not corrected. It seems that most women with this condition have a somewhat slimmer mucosa a priori. Most of the problems arise during the first pregnancy. Someone who has had an uninterrupted pregnancy or a miscarriage course and afterwards just become pregnant has a lower chance of getting this problem. Because you have that property or not. I also do not think it can happen to every woman. There is a bit of thought that Ashman's Syndrome may be due to a wrong curettage, but the experts are out of that mind. I really think it's a property that's more bound to the woman than to the one who is doing the curtailment.