Asherman's syndrome risk factors
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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).