Asherman's syndrome risk factors: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Asherman's syndrome}} | {{Asherman's syndrome}} | ||
'''Editor(s)-in-Chief:''' [[C. Michael Gibson]], M.S.,M.D. [mailto:charlesmichaelgibson@gmail.com] Phone:617-632-7753; [[User:Csinfor|Canan S Fornusek, Ph.D.]]; '''Associate Editor-In-Chief:''' {{MUT}} | '''Editor(s)-in-Chief:''' [[C. Michael Gibson]], M.S.,M.D. [mailto:charlesmichaelgibson@gmail.com] Phone:617-632-7753; [[User:Csinfor|Canan S Fornusek, Ph.D.]]; '''Associate Editor-In-Chief:''' {{MUT}} | ||
==Overview== | ==Overview== | ||
<br /> | |||
==Risk Factors== | ==Risk Factors== | ||
The risk of Asherman's | The risk of Asherman's increases with the number of procedures: one study estimated the risk to be 16% after one D&C and 32% after 3 or more D&Cs <ref name="Friedler">{{cite journal |author=Friedler S, Margalioth EJ, Kafka I, Yaffe H. |title=Incidence of postabortion intra-uterine adhesions evaluated by hysteroscopy: a prospective study |journal=Hum Reprod |volume=8 |issue=3 |pages=442–444. |year=1993 |pmid=8473464 |unused_data=|doi}}</ref>. Other risk factors may include | ||
* embolization of the uterus | |||
* B-Lynch sutures | |||
* abdominal [[myomectomy]] | |||
* hysteroscopic myomectomy | |||
* [[Tuberculosis|genital tuberculosis]] | |||
* surgical treatment of [[Mullerian duct anomalies classification system|Mullerian anomalies]] | |||
Women may be predisposed to intrauterine adhesions if they are of increased age, poor nutritional status during pregnancy, and have experienced intrauterine or genital infectious processes. However, such factors are not supported in the literature, where the dominant factor seems to be surgical trauma (frequent hysteroscopic surgery, repeat curettages and infection). | |||
<br /> | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Needs content]] | [[Category:Needs content]] |
Revision as of 19:57, 27 June 2022
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Editor(s)-in-Chief: C. Michael Gibson, M.S.,M.D. [1] Phone:617-632-7753; Canan S Fornusek, Ph.D.; Associate Editor-In-Chief: M.Umer Tariq [2]
Overview
Risk Factors
The risk of Asherman's increases with the number of procedures: one study estimated the risk to be 16% after one D&C and 32% after 3 or more D&Cs [1]. Other risk factors may include
- embolization of the uterus
- B-Lynch sutures
- abdominal myomectomy
- hysteroscopic myomectomy
- genital tuberculosis
- surgical treatment of Mullerian anomalies
Women may be predisposed to intrauterine adhesions if they are of increased age, poor nutritional status during pregnancy, and have experienced intrauterine or genital infectious processes. However, such factors are not supported in the literature, where the dominant factor seems to be surgical trauma (frequent hysteroscopic surgery, repeat curettages and infection).