asherman syndrome
Pronunciation: ASH-er-man
Condition characterized by intrauterine adhesions that can cause amenorrhea and infertility, requiring surgical treatment.
Full Definition
Asherman syndrome is a gynecologic condition characterized by the formation of intrauterine adhesions (synechiae) that partially or completely obliterate the uterine cavity. Most commonly caused by overzealous curettage following abortion or postpartum hemorrhage, the condition can also result from severe endometritis or uterine surgery. Patients typically present with amenorrhea, hypomenorrhea, infertility, or recurrent pregnancy loss. Diagnosis is made through hysterosalpingography, saline infusion sonography, or hysteroscopy. Treatment involves hysteroscopic adhesiolysis followed by measures to prevent reformation of adhesions, including estrogen therapy and placement of intrauterine devices or barriers.
Usage
Usage note: Capitalize 'Asherman' as an eponym; often associated with prior uterine instrumentation.
In Context
- "Hysteroscopic adhesiolysis was performed to treat severe Asherman syndrome with complete uterine cavity obliteration." — operative report
- "The patient's secondary amenorrhea was attributed to Asherman syndrome following postpartum curettage." — diagnostic workup