What is Asherman's Syndrome? Gynatresia?

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What is Asherman's Syndrome?
Gynatresia?
Occlusion of some part of the female genital tract, especially of the vagina. (Dorland, 28th ed)Definition
"A condition where the uterine walls adhere to one another, usually caused by uterine inflammation." In most cases, Asherman's is caused by an overly aggressive procedure called a D&C, which is performed following a miscarriage, birth or for evaluation of the uterus.
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.
Symptoms
No menstrual flow (amenorrhea) or decreased menstrual flow
Infertility
Recurrent miscarriages
These symptoms are more likely to indicate Asherman's syndrome if they occur suddenly after a D and C or other uterine surgery.Tests
A pelvic exam is usually normal. If Asherman's syndrome is suspected, your doctor may recommend a hysterosalpingogram (an X-ray test of the uterine cavity) or hysteroscopy (an outpatient surgical procedure). During hysteroscopy, a small camera is inserted through the cervix that allows your doctor to look at the inside of your uterus under magnification. These tests may reveal scar tissue partially or completely filling the uterine cavity.
If infertility is a problem, other tests or evaluations may be recommended and it maybe necessary to consult an infertility specialist.

General Information on Ashermans can be found at the IAS including:

Treatment

Prognosis

Complications

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