Asherman’s syndrome is a conditionally acquired condition, described as an adhesion of tissue inside of the uterus. In many cases the front and rear tissue connects together inside of it, while in rarer cases the adhesion process will affect only a smaller segment of the uterus. The area of effect of this adhesion process basically determines the level of Asherman’s Syndrome – the larger the tissue being affected, the higher level of the condition it is. Adhesions can be thick or thin and they usually feature no vascularity, which is one factor that significantly improves chances of 100% recovery.
Symptoms and causes of Asherman’s syndrome
Most patients who are dealing with Asherman’s syndrome report lack of periods, but it doesn’t need to be a dead giveaway, just a hint. Some patients actually had normal period cycles and were still diagnosed with this condition. One dead giveaway is pain during periods, which indicates that there is blood accumulating somewhere inside the uterus, being trapped by the adhesion of the tissue. Repetitive spontaneous abortions and infertility may also indicate towards Asherman’s syndrome.
This syndrome begins once the mucosa of the inside of the uterus tries to repair itself. This is often caused by a trauma of some sort, and it is completely natural for the mucosa to begin the healing process. This damage can be done by improper checkups with probes, particularly if the check-up is being done soon after spontaneous abortion. There is a special variety of Asherman’s syndrome, going by the name of “unpasted Asherman” which is far more difficult to get treated. In this case, adhesions may be present, but the walls of the uterus aren’t stapled together. Actually, the whole interior of the uterus is barren, which indicates that its basal layer has been destroyed by one way or another.
How common is Asherman’s syndrome?
Asherman’s syndrome can hardly be proven by using routine diagnostic tests like ultrasound. There is an estimate of 1,5% of women that are suffering from Asherman’s syndrome, out of which there is a percentage of 42% of women who have experienced spontaneous abortion. Direct visualization of the uterus during hysteroscopy is the most reliable method of diagnosis.
Ideally, prevention is the best possible solution for this condition. Back in 1993 it was suggested to reduce the amount of intrusive uterus checkups to reduce the risks of this condition and to give way to less intrusive methods such as ultrasound checkups. Treatment of Asherman’s syndrome falls down into the hands of a highly experienced surgeon via hysteroscopy. There are only a couple of specialists in the world who have had continuous success in treating this condition, so it is obviously an extremely expensive condition to be treated. This is why there is so much effort being put into preventing the condition in the first place, as well as educating women around the world about how they can reduce the risks with their own incentives.