Uterine synechiae are intrauterine adhesions (IUAs).
Symptoms may include menstrual disturbance (amenorrhea, hypomenorrhea, or dysmenorrhea), pelvic pain, recurrent spontaneous aborti...
Infertility
Menstrual abnormalities
Amenorrhea or hypomenorrhea
Menstrual pattern does not correlate with the severity of adhesions.
Endometriosis
Hematometra and/or hematosalpinx
Recurrent...
Spontaneous return of menses in 78% within 7 years
Spontaneous pregnancy in 46%
Limite...
Routine visits at 2 and 6 weeks after surgery
Repeat hysteroscopy or second-line hysterosalpingography at 2 to 3 menstrual cycles postsurgery to assess for adhesio...
Bosteels J, Weyers S, D’Hooghe TM, et al. Anti-adhesion therapy following operative hysteroscopy for treatment of female subfertility. Cochrane Databas...
361115000 Intrauterine adhesions (disorder)
48236007 Asherman syndrome (disorder)
Typical symptoms: secondary amenorrhea, infertility, recurrent SABs, and/or cyclic pelvic pain
Prevention of adhesions is key: Minimize intrauterine operative interventions while women ...
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<bold>FIGURE 24.21</bold><bold>A:</bold> Hysterogram suggests uterine synechiae by the presence of a persistent filling defect. <bold>B:</bold> Asherman disease is pictured here with intrauterine adhesions showing an hourglass appearance, i.e., column-shaped adhesion stretching between anterior and posterior walls of the uterus.
<bold>FIGURE 24.21</bold><bold>A:</bold> Hysterogram suggests uterine synechiae by the presence of a persistent fi...
<bold>FIG. 28.10.</bold>Infertility. A: Mature follicle (between cursors) containing a small protrusion from the posterior wall representing the cumulus oophorus. B: Image taken during follicular aspiration showing echogenic needle tip within deflating mature follicle. C: Classic appearance of ovary seen in women with polycystic ovarian syndrome (Â_string of pearls).
<bold>FIG. 28.10.</bold>Infertility. A: Mature follicle (between cursors) containing a small protrusion from the posterior wal...
<bold>FIG. 28.10.</bold>Infertility. A: Mature follicle (between cursors) containing a small protrusion from the posterior wall representing the cumulus oophorus. B: Image taken during follicular aspiration showing echogenic needle tip within deflating mature follicle. C: Classic appearance of ovary seen in women with polycystic ovarian syndrome ("string of pearls").