Comprehensive management of severe Asherman syndrome and amenorrhea

Myers, Erinn M.; Hurst, Bradley S.

doi:10.1016/j.fertnstert.2011.10.036

Cited by 140 publications

(73 citation statements)

References 9 publications

(17 reference statements)

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“…Sınırlı sayıdaki çalışmalar, yoğun adezyonu olan hastalarda bir-iki siklus çekilme kanaması sonrası ofis histereskopinin yinelenebileceğini göstermişlerdir. Takiplerde histerosalpingografi ve transvajinal ultrasonografi kullandıklarını belirten çalışmalar da mevcuttur (11) .…”

Section: Discussionunclassified

A Case of Asherman Syndrome following uterine rupture during labor

Çetin¹,

Bahat²,

Köroğlu³

et al. 2017

Okmeydani Medical Journal

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Section: Discussionunclassified

A Case of Asherman Syndrome following uterine rupture during labor

Çetin¹,

Bahat²,

Köroğlu³

et al. 2017

Okmeydani Medical Journal

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“…Robinson et al [ 14 ] used a high-dose conjugated oestrogen at a dose of 2.5 mg per day, which was four times the standard physiologic dose for 1 month as an adjunctive treatment for postoperative therapy. Myers and Hurst [ 15 ] advocated the estrogens pre-and post-operation for 4-10 weeks. Another common regime is the use of hormone treatment after hysteroscopic surgery for 3 months, with oestradiol valerate 4 mg/day for 4 weeks and the addition of progestogen in the last 2 weeks of the oestrogen treatment for every cycle.…”

Section: Pre-operative or Post-operative Hormone Treatmentmentioning

confidence: 99%

Prevention of Intrauterine Adhesions

Xia²,

2015

Reproductive Surgery in Assisted Conception

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“…2 Any insult severe enough to remove or destroy endometrium can cause adhesions. The gravid uterus is particularly susceptible to injury, especially between the second and fourth weeks postpartum.…”

Section: Etiologymentioning

confidence: 99%

“…5,6 In the developing world, genital tuberculosis is considered an important cause of intrauterine adhesions. 2,4,7 Overall, the incidence of intrauterine adhesions is uncertain, but may be increasing. The risk of intrauterine adhesions associated with elective termination of pregnancy is generally low, but the prevalence and severity of adhesions may increase with the number of procedures.…”

Section: Etiologymentioning

confidence: 99%

“…1,2 This condition may lead to menstrual aberrations, infertility, recurrent pregnancy loss, intrauterine growth retardation (IUGR), errors of placental implantation, and other complications associated with the uterine adhesion. 3 Women with severe Asherman syndrome may require more than one imaging modality to establish the extent of disease and determine the prognosis for repair, and more than one approach to minimize recurrence of adhesions.…”

mentioning

confidence: 99%

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The management of Asherman syndrome in gynecology

Hadisaputra¹,

Handoko²

2013

Med J Indones

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AbstrakSindrom Asherman adalah penyakit yang ditandai dengan terbentuknya perlekatan di rongga uterus. Kondisi AbstractAsherman syndrome is an acquired condition characterized by the formation of adhesions in the uterine cavity. This condition is often caused by trauma to the endometrium, which mostly happens after currettage or post-partum, and can produce several complications such as menstrual disturbances, infertility, or recurrent abortion. The management of Asherman syndrome requires complete actions which can be summarized with the acronym PRACTICE, consisting of prevention, anticipation, comprehensive therapy, timely surveillance of subsequent pregnancies, investigation and continuing education. The prevention and anticipation aspects can be performed through reduction of invasive methods of therapy such as currettage, prophylactic therapy for adhesions such as antibiotics and post-estrogen therapy for high risk patients, and the use of instruments that do less damage to the uterine walls. The comprehensive therapy that become the method of choice is operative lysis using hysteroscopy, which provides direct visualization of the adhesion. To prevent reccurrence, especially to patients planning to have subsequent pregnancies, timely surveillance of the next pregnancies for high risk patients should be performed at hospital, with complete work-ups. Lastly, evaluation of operative results and continuing education to explain prognoses to the patient should be also performed. (Med J Indones. 2013;22:121-6)

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Comprehensive management of severe Asherman syndrome and amenorrhea

Cited by 140 publications

References 9 publications

A Case of Asherman Syndrome following uterine rupture during labor

A Case of Asherman Syndrome following uterine rupture during labor

Prevention of Intrauterine Adhesions

The management of Asherman syndrome in gynecology

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