Asherman's Syndrome - Hysteroscopy
Symptoms
A 39 year old woman presented with secondary infertility. She had 2 children delivered by Caesarean Section. The second delivery was complicated by endometritis (infection of the lining of the uterus). She had been trying to conceive a third pregnancy for 6 months. She had noted her periods had become significantly lighter and were painful.
Diagnosis
Hysteroscopy revealed Asherman’s Syndrome. The walls of the uterus had become adherent because of adhesions.
Procedure
The adhesions were divided. She took a course of high dose oestrogen post-operatively.
Outcome
She subsequently had a miscarriage. This was followed by a term delivery.
