Asherman’s syndrome II – therapy, methods of guidance, prevention of readhesion processs, complications and results of therapy

Czech version

Authors: L. Hrazdírová; D. Kužel; Z. Žižka
Authors‘ workplace: Gynekologicko-porodnická klinika VFN a 1. LF UK, Praha, přednosta prof. MUDr. A. Martan, DrSc.
Published in: Ceska Gynekol 2010; 75(6): 499-506

Overview

Objective:
To describe the current knowledge about Asherman’s syndrome: methods of therapy and guidance, preventions of readhesion process, complications and results of therapy.

Design:
Review article.

Results:
There are presented historic and recent methods for therapy of Asherman’s syndrome and their postoperative results. The hysteroscopy is the gold standard in diagnostics and therapy in this time. For prevention of perforation there are used several methods of guidance. The most frequent methods are laparoscopic and ultrasound asistence.

The most actual question in this time is using of antiadhesion products for preventing of readhesion process. Between described complications belong peroperative complications and complications of consecutive pregnancy. Every patient is endangered by abortion, premature delivery, IUGR and placenta accreta or increta. The results of therapy depend on degree of intrauterine finding and previous pregnancy anamnesis.

Conclusion:
The Asherman’s syndrome is very complicated and severe disease that can significantly influence a possibility of woman conceive and give birth to a healthy child.

Key words:
intrauterine adhesion, Asherman’s syndrome, hysteroscopy , infertility, amenorrhea.

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