Can Asherman’s syndrome be prevented?

Some researchers think that women who have any type of uterine surgery or injuries to the uterus should also have hormone therapy or mechanical separation of uterine walls after their procedures to prevent IUA. This means that a stent is left in the uterus for a period of time in order to stop IUA. Before trying to get pregnant, women who have had uterine surgeries may be advised to have imaging done to see if they have any type of adhesions.

In addition, research has shown that the timing of D&Cs can have some influence on adhesion formation. For instance, adhesions are more likely to happen if a postpartum D&C is done two to four weeks after delivery.

Last reviewed by a Cleveland Clinic medical professional on 06/29/2017.

References

  • March CM. Asherman's syndrome. Semin Reprod Med. 2011;29(2):83-94.
  • Amenorrhea. In: Hoffman BL, Schorge JO, Bradshaw KD, Halvorson LM, Schaffer JI, Corton MM. eds. Williams Gynecology, 3e New York, NY: McGraw-Hill; . mhmedical.com Accessed 5/25/2017.
  • Cenksoy PO, Ficicioglu C, Yesiladali M, Kizilkale O. The Diagnosis and Management of Asherman's Syndrome Developed after Cesarean Section and Reproductive Outcome. Case Rep Obstet Gynecol. 2013;2013:450658.
  • Conforti A, Alviggi C, Mollo A, De placido G, Magos A. The management of Asherman syndrome: a review of literature. Reprod Biol Endocrinol. 2013;11:118.
  • Society of Laparoendoscopic Surgeons. Intrauterine adhesions: hysteroscopic evaluation and treatment Accessed 5/25/2017.
  • National Organization for Rare Disorders. Asherman’s syndrome Accessed 5/25/2017.
  • International Asherman’s Association Accessed 5/25/2017.
  • International Adhesions Society. Asherman’s syndrome Accessed 5/25/2017.

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