Asherman's syndrome risk factors: Difference between revisions
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==Overview== | ==Overview== | ||
The strongest risk factors for developing Asherman Syndrome is previous obstetric curettage procedures and infections. | |||
==Risk Factors== | ==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 <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 | 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 | *embolization of the uterus | ||
* B-Lynch sutures | *B-Lynch sutures | ||
* abdominal [[myomectomy]] | *abdominal [[myomectomy]] | ||
* hysteroscopic myomectomy | *hysteroscopic myomectomy | ||
* [[Tuberculosis|genital tuberculosis]] | *[[Tuberculosis|genital tuberculosis]] | ||
* surgical treatment of [[Mullerian duct anomalies classification system|Mullerian anomalies]] | *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).<ref name="pmid27337414">{{cite journal| author=Di Spiezio Sardo A, Calagna G, Scognamiglio M, O'Donovan P, Campo R, De Wilde RL| title=Prevention of intrauterine post-surgical adhesions in hysteroscopy. A systematic review. | journal=Eur J Obstet Gynecol Reprod Biol | year= 2016 | volume= 203 | issue= | pages= 182-92 | pmid=27337414 | doi=10.1016/j.ejogrb.2016.05.050 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27337414 }} </ref> | 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).<ref name="pmid27337414">{{cite journal| author=Di Spiezio Sardo A, Calagna G, Scognamiglio M, O'Donovan P, Campo R, De Wilde RL| title=Prevention of intrauterine post-surgical adhesions in hysteroscopy. A systematic review. | journal=Eur J Obstet Gynecol Reprod Biol | year= 2016 | volume= 203 | issue= | pages= 182-92 | pmid=27337414 | doi=10.1016/j.ejogrb.2016.05.050 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27337414 }} </ref> | ||
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Editor(s)-in-Chief: Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Canan S Fornusek, Ph.D.; Associate Editor-In-Chief: Saud Khan M.D.
Overview
The strongest risk factors for developing Asherman Syndrome is previous obstetric curettage procedures and infections.
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).[2]
References
- ↑ Friedler S, Margalioth EJ, Kafka I, Yaffe H. (1993). "Incidence of postabortion intra-uterine adhesions evaluated by hysteroscopy: a prospective study". Hum Reprod. 8 (3): 442–444. PMID 8473464. Text "doi" ignored (help)
- ↑ Di Spiezio Sardo A, Calagna G, Scognamiglio M, O'Donovan P, Campo R, De Wilde RL (2016). "Prevention of intrauterine post-surgical adhesions in hysteroscopy. A systematic review". Eur J Obstet Gynecol Reprod Biol. 203: 182–92. doi:10.1016/j.ejogrb.2016.05.050. PMID 27337414.