Asherman syndrome: Audit of a single-operator cohort of 423 cases.
Aust N Z J Obstet Gynaecol
; 60(4): 574-578, 2020 08.
Article
em En
| MEDLINE
| ID: mdl-32458458
ABSTRACT
BACKGROUND:
The diagnosis of Asherman syndrome, or 'intra-uterine adhesions' is often overlooked when the symptoms of amenorrhea and hematometra are missing.AIMS:
This audit reviews the clinical data of a large cohort of patients treated by a single operator. MATERIALS ANDMETHODS:
From July 1998 till the end of December 2017, 423 patients with intra-uterine adhesions were treated by a single operator. Clinical information was obtained by review of the medical files and phone interviews.RESULTS:
Amenorrhea was recorded in 163/423 patients (38.5%), 225/423 (53.2%) patients did not have amenorrhea and for 35/423 (8.3%) patients the information was missing. A hematometra was documented in 19/423 (4.5%) patients. Pregnancy was achieved in 215/246 (87.4%). Patients with stage II disease did best with a pregnancy rate of 94.5% (P = 0.029).CONCLUSION:
Asherman syndrome should be considered in any woman with a history of miscarriage or postpartum curettage who then fails to conceive again.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Ginatresia
Tipo de estudo:
Etiology_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
/
Pregnancy
Idioma:
En
Revista:
Aust N Z J Obstet Gynaecol
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
Austrália