Downloads: 2 | Views: 29 | Weekly Hits: ⮙2 | Monthly Hits: ⮙2

Case Studies | Obstetrics and Gynecology | India | Volume 13 Issue 3, March 2024

Diagnosing and Unraveling a Rare Case Report of Asherman Syndrome: Exploring Diagnostic Techniques and Optimizing Treatment Outcomes

Fatema Ali Asger Rampurawala | Bilal Harris

Abstract: Background: Asherman Syndrome is a rare condition characterized by intrauterine adhesions, often stemming from dilatation and curettage (D&C) procedures. We present a case of a 25-year-old woman with a history of recurrent pregnancies, spontaneous miscarriage, and an unusual complication after D&C. Clinical History: The patient, G6P4 (all term babies), experienced amenorrhea for six months after her sixth pregnancy. This pregnancy was marked by high fever during an 11-week gestation D&C, followed by pelvic inflammatory disease (PID) treated with broad-spectrum antibiotics. Clinical Examination: Ultrasonography revealed an anteverted, bicornuate uterus with an evenly distributed 8.4mm endometrium. The ovaries appeared normal. Differential diagnosis included pregnancy, PCOD, medication-induced menstrual changes, thyroid disease, hyperprolactinemia, and androgen-secreting ovarian/adrenal tumors. Diagnosis and Management: Diagnostic hysteroscopy was undertaken, unveiling synechiae at the uterine cavity entrance, above the internal cervical os. Asherman Syndrome was confirmed and treated during hysteroscopy through synechiae excision using a Monopol electric knife. Outcome: The patient's recovery post-surgery was uneventful. Hormone therapy and antibiotics were administered to aid uterine healing and prevent infection. Follow-up revealed the resumption of normal menstruation and potential for conception. Conclusion: Asherman Syndrome, though rare, presents unique diagnostic and management challenges. Timely hysteroscopy-guided intervention is crucial for restoring uterine health and fertility in affected individuals.

Keywords: Asherman Syndrome, hysteroscopy, synechiae, uterus

Edition: Volume 13 Issue 3, March 2024,

Pages: 1436 - 1439