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Asherman's syndrome

Asherman's syndrome , also called "uterine synechiae ", presents a condition characterized by the presence of scars within the uterine cavity. This scarring is believed to result from aggressive scraping of the uterus in the presence of infection or when an infection occurs after a D&C. In many cases the front and back walls of the uterus stick to one another. In other cases, adhesions only occur in a small portion of the uterus. The adhesions can be thin or thick, can be spotty in location, or can be confluent. Scar tissue within the uterine cavity can interfere with conception, or can increase the risk of a miscarriage. Most likely the disorder is due to a congenital predisposition the carpal tunnel is simply smaller in some people than in others The carpal tunnel - a narrow, rigid passageway of ligament and bones at the base of the hand houses the median nerve and tendons. Most often these symptoms are the result of severe inflammation of the lining of the uterus (endometriosis) that is caused by the development of bands of scar tissue that join parts of the walls of the uterus to one another, thus reducing the volume of the uterine cavity (intrauterine adhesions and synechiae). In rare cases, other infections or radium insertion into the uterus for the treatment of gynecologic cancers can lead to Asherman's Syndrome. Asherman's Syndrome is a gynecological disorder in which affected females experience a gradual decrease in menstrual flow, increased cramping and abdominal pain, eventual cessation of menstrual cycles (amenorrhea), and infertility.

Asherman's syndrome is an uncommon, acquired, gynecological disorder characterized by changes in the menstrual cycle. The median nerve controls sensations to the palm side of the thumb and fingers. The adhesions may cause amenorrhea (lack of menstrual periods) and/or infertility. Carpal Tunnel Syndrome is a disease of hand and wrist. Asherman's Syndromecan also occur after surgery inside the uterus, such as the removal of fibroid tumors or polyps. With modern instruments, many of these procedures can be performed in the office with minimal discomfort, using only a pain pill before beginning. Asherman's can also result from intrauterine surgery to remove fibroids, uterine structural defects (septum, bicornuate uterus, large polyps), or at cesarean section infections related to IUD use (or the placement of any foreign object within the uterine cavity). In rare cases, other infections or radium insertion into the uterus for the treatment of gynecologic cancers can lead to Asherman's Syndrome.

Causes of Asherman's syndrome

The common Causes of Asherman's syndrome :

  • Most commonly, intrauterine adhesions occur after a D&C (dilatation and curettage) that was performed because of a miscarriage or because of retained placenta with or without hemorrhage after a delivery.
  • Repetitive stress injury
  • Wrist dislocation or sprain, including Colles' fracture followed by edema.
  • Intrauterine adhesions can also form after infection with tuberculosis or schistosomiasis. These infections are rare in the United States, and uterine complications such as Asherman's syndrome related to these infections are even less common.
  • Other conditions that increase fluid pressure in the wrist, including alterations in the endocrine or immune systems
  • Asherman's syndrome can also occur after other types of uterine surgery. It may be more likely to happen after a pregnancy-related D&C or if an infection is present in the uterus during the time of the procedure.

Symptoms of Asherman's syndrome

Some common Symptoms of Asherman's syndrome :

  • Pain radiating from wrist to shoulder and front side of your forearm is mostly affected.
  • No menstrual flow (amenorrhea) or decreased menstrual flow.
  • Weakness in the affected area.
  • Recurrent miscarriages.
  • Untreated, carpal tunnel syndrome can produce permanent nerve damage with loss of movement and sensation.
  • Infertility.
  • Continued use of the affected wrist may increase tendon inflammation, compression, and neural ischemia, causing a decrease in wrist function.

Treatment of Asherman's syndrome

  • Operative hysteroscopy is used for visual inspection of the uterine cavity and dissection of scar tissue.
  • Nonsteroidal anti-inflammatory drugs are very effective and safe to reduce the inflammation.
  • Antibiotic treatment may be necessary if infection is identified.
  • Importance of wrist braces and splints in the carpal tunnel syndrome therapy is unknown for many people
  • In case of severe symptoms of Carpal Tunnel Syndrome surgery may be good and effective option preferred by the doctor.
  • Administer mild analgesics as needed. Encourage the patient to use her hands as much as possible. If her dominant hand has been impaired, you may have to help her with eating and bathing.
  • Corticosteroids may help to relieve your pain. It can decrease pain, inflammation and swelling. Oral corticosteroids are not preferred by the doctor.


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