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Chapter-07 Intrauterine Adhesions: Hysteroscope Evaluation and Treatment

BOOK TITLE: ISARCON 2017 Manual of Operative Hysteroscopy

Author
1. Sahetya Raju R
ISBN
9789352700752
DOI
10.5005/jp/books/14175_8
Edition
1/e
Publishing Year
2018
Pages
9
Author Affiliations
1. Mumbai, Maharashtra, India, A Postgraduate from Seth GS Medical College, Mumbai, Maharashtra, India, Indian Society for Prenatal Diagnosis and Therapy (ISPAT); Pushpaa Hospital, Hinduja Hospital, Mumbai, Maharashtra, India
Chapter keywords
Intrauterine adhesion, IUA, hysteroscopy, mild adhesion, moderate adhesion, severe adhesion, abnormal menstruation

Abstract

Intrauterine adhesions (IUA), also called as uterine synechiae (US) or Asherman’s syndrome (AS), presents a condition characterized by presence of adhesions within the uterine cavity due to scars. The true prevalence of IUA is difficult to determine because IUA could be entirely asymptomatic; however, the condition has been estimated to affect 1.5% of women undergoing hysterosalpingography, between 5% and 39% of women with recurrent pregnancy loss and up to 40% of patients who have a history of surgical treatment for retained products of conception. Three stages of intrauterine adhesions are defined, which are mild adhesion, moderate adhesion, and severe adhesion. Etiology and pathophysiology, diagnosis and indications for treatment, intra- and postoperative management of IUA are discussed broadly in this chapter.

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