Secondary Prevention of Intrauterine Adhesions Following Hysteroscopic Surgery in Women With Asherman Syndrome: Is Something Better Than Nothing?

Clin Obstet Gynecol. 2020 Jun;63(2):320-326. doi: 10.1097/GRF.0000000000000510.

Abstract

Asherman syndrome is a reproductive disorder characterized by intrauterine adhesions and amenorrhea, infertility, abnormal placentation, or pregnancy loss. Treatment of Asherman syndrome involves hysteroscopic lysis of adhesions. Many surgeons utilize postoperative measures such as hormone therapy, solid mechanical devices, or barrier gels to prevent recurrent adhesions in this setting. However, there is limited high-quality evidence to support their use. Additional research is needed on the safety and efficacy of these commonly used methods to guide patient care.

Publication types

  • Case Reports
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Female
  • Gynatresia*
  • Humans
  • Hysteroscopy / adverse effects*
  • Secondary Prevention
  • Tissue Adhesions / prevention & control*
  • Uterine Diseases / prevention & control*