Hello and welcome to the Zero to Finals podcast.

My name is Tom and in this episode I'm going to be talking to you about Asherman's syndrome.

And you can find written notes on this topic at zero tofinals.com slash Ashemans

or in the gynecology section of the Zero definals obstetrics and gynecology book.

So let's get straight into it.

Ashman syndrome is where adhesions, sometimes called sinec-e, form within the uterus

following damage to the uterus.

Usually Asherman syndrome occurs as a result of pregnancy-related dilatation and curatage procedures,

for example in the treatment of retained products of conception, which is removing the placental tissue left after birth.

It can also occur after uterine surgery, for example myomectomy or pelvic infection, for example, myomectomy, or pelvic infection, for example, endometriitis.

Endometrial curatage, which is scraping of the endometrium, can damage the basal layer of the

endometrium. This damaged tissue may heal abnormally, creating scar tissue or adhesionsions which connect areas of the uterus that are not

normally connected. There may be adhesions that bind the uterine wall together or adhesions within

the endoservics sealing the cervix shut. These adhesions form physical obstructions and distort the pelvic organs,

resulting in menstrual abnormalities, infertility and recurrent miscarriages.

Adesians may be found incidentally during a hystereoscopy procedure.

Asymptomatic adhesions are not classified as Asherman syndrome.

Ashman syndrome occurs when the adhesions are symptomatic adhesions are not classified as Ashman syndrome. Asherman syndrome occurs when the adhesions are symptomatic. Let's talk about the presentation. Asherman syndrome typically presents

following recent dilatation and curatage, uterine surgery or endometritis, with symptoms of secondary amenorrhea or absent periods,

significantly lighter periods, and dysmenorrhea, which is painful periods.

It may also present with infertility.

How is it diagnosed?

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