asherman syndrome wiki | causes, treatment, Hysteroscopy.
If there is a problem of miscarriage and infertility, again and again, one reason may be asherman syndrome. Asherman syndrome is a condition related to the uterus. Asherman syndrome (AS), also known as intrauterine adhesions (IUA) or endometrial synechiae, is an acquired uterine condition that occurs when scar tissue (adhesion) is formed inside the uterus and/or cervix.
Although the first case of intrauterine adhesion was published in 1894 by Heinrich Fritch, but after 54 years, the full description of Asherman Syndrome was done by Israeli gynecologist Joseph Ashraman.
Stomach in the uterus and circulation between the Ashram and Syndrome Syndrome occurs that the condition of the disease is moderate or severe,
depending on the condition of the sticking between them, let’s know about it.
There is no reason for AS. Risk factors may include myomatometry, cesarean section, infection, age, genital tuberculosis, and obesity.
AS is investigating the genetic disorder. There are also studies which show that a serious pelvic infection can cause AS-independent surgery.
AS can also be developed when there is no uterine surgery, trauma or conception of the woman.
While in North America and European countries, rare, genital tuberculosis is another cause of Asherman in other countries like India.
Recognized symptoms of asherman syndrome at times.
Repeated abortion and infertility are common symptoms. The woman suffering from this problem has difficulty getting pregnant or irregular in women.
While some women do not come in periods or on a periodical period, without a period of time, it is only a feeling of pain.
Pain is a sign that the period has come, but because of the stomach due to the block of Cervix, blood is not able to get out of the uterus.
It has been reported that cases of 88% AS occur after a recent pregnancy on the uterus, during an alternate termination (abortion) to remove a missed or incomplete abortion, after birth, or products made from conception. it happens.
asherman syndrome causes.
The uterine cavity is quartered by endometrium.
This lining is made up of two layers, functional layer (adjacent to the uterine cavity) which is shed during menstruation and an inherent basal layer (adjacent to the myomatometry),
which is necessary to regulate functional layers.
After a dispersion and treatment (D & C) for trauma for the basal layer, usually abortion, or for surgical termination of the pregnancy or after pregnancy,
can lead to the development of intrauterine traces, resulting in adhesions.
Which can separate the cavity from different degrees.
At the extreme, the entire cavity can be wounded and covered. Even with relatively few traces, endometrium may fail to respond to estrogens.
Ashraman syndrome affects women of all races and ages equally, does not suggest any underlying genetic tendency for its development.
As a result of other pelvic surgeries including cesarean section, removal of fibroid tumor (myomectomy) and other causes such as IUD, pelvic radiation, scoliosomiasis and genital tuberculosis.
Chronic endomatalisms from genital tuberculosis are an important cause of severe intrauterine adhesions (IUA) in the developing world, which often leads to total oblivion of the uterine cavity, which is difficult to cure.
Identification with Hysteroscopy.
Seeing the hysteroscopy in the uterus, treating the causes of the unusual building is detected and treated. In this, there is a thin tube of Hysteroscopy, which also has a light that helps in the examination of the uterus and other internal parts. Hysteroscopy can also be diagnostic, and operative also diagnostic. Hysteroscopy is done to test the problems of the uterus, while operative Hysteroscopy and abnormal condition is done to correct. Whose diagnosis runs during Diagnostic Hysteroscopy.
Benefits of Hysteroscopy.
Compared to the second test, Hysteroscopy does not stop much of the day in the hospital, and the recovery is quick. Apart from this, more medicines are not required to relieve pain after surgery. And the process of hysterectomy can be avoided.
Generally, such condition is missing or incomplete miscarriage, after delivery, the placenta is born with or without the hemorrhage, and due to the spread of the uterus during the abortion performed in the desire. Many times during the delivery, the condition of the disease is also due to surgery, such as surgery to remove fibroids or polyps, or TB of genitals, and schistosomiasis.
What is diagnosis?
Treatment of asherman syndrome is possible.
The tendency of rebuilding is found in the paste. Especially in severe cases, it is possible to treat the problem again after surgery. After this surgery, estrogen supplements are prescribed for the healing of the uterus. Also, immediately after the operation, replacing the uterine cells in the healing process does not stick again, for this, replant or balloon is also placed between them. This means that uterus/cervix are free of scars and fertility is also restored.
Reproductive results of this syndrome can be of several types. Like infertility again to be a miscarriage. Loss of inner uterus growth, placenta accreta, etc. Although the women who have intrauterine scarring and amenorrhea, even if they have passed through the delivery process, the cause for concern for them may be anything else. By the way, the decrease in periods may also be due to hormonal disparities.
But it is usually due to either the entire lining of the uterus being completely destroyed. Or, because of some kind of consternation in the previous part of the cervix or uterus. In such a situation, periods either happens inside the uterus, which leads to stomachache and the hematometra name condition is born. Or the flow of blood goes into the abdominal cavity.
Which can cause endometriosis. Women with asherman syndrome are likely to develop uterine cancer before or after menopause.
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