What are intrauterine adhesions?

What are intrauterine adhesions?

Intrauterine adhesions (IUAs) are bands of fibrous tissue that form in the endometrial cavity, often in response to a uterine procedure. IUAs are often associated with menstrual abnormalities and infertility. IUAs are commonly treated with hysteroscopic resection followed by mechanical or hormonal treatments.

What is the treatment for Asherman syndrome?

The most common treatment for Asherman’s syndrome is hysteroscopic surgery (hysteroscopes plus scissors or other cutting instruments) to cut the adhesions of the uterine wall. The hysteroscope allows the doctor a magnified and the direct view of the uterus for precise cutting of the uterine adhesions.

How are intrauterine adhesions removed?

Surgical treatment of intrauterine adhesions with hysteroscopic guidance is recommended. A special operating hysteroscope is used to cut the scar tissue. This is frequently done under anesthesia but, in some circumstances, may be performed in a physician’s office.

What is another name for adhesions within the endometrial cavity?

Asherman’s syndrome is a rare condition where scar tissue, also called adhesions or intrauterine adhesions, builds up inside your uterus. This extra tissue creates less space inside your uterus.

What is D and C abortion?

Dilation and curettage (D&C) is a procedure to remove tissue from inside your uterus. Health care providers perform dilation and curettage to diagnose and treat certain uterine conditions — such as heavy bleeding — or to clear the uterine lining after a miscarriage or abortion.

Can ultrasound detect Asherman’s syndrome?

Additionally, Asherman’s syndrome is usually undetectable by routine exam or diagnostic procedures such as an ultrasound scan, contributing to its status as a difficult-to-diagnosis disease. The gold standard for diagnosing Asherman’s syndrome is hysteroscopy.

How do they diagnose adhesions after C section?

Doctors typically diagnose adhesions during a surgical procedure such as laparoscopy (putting a camera through a small hole into the stomach to visualize the organs). If they find adhesions, doctors usually can release them during the same surgery.

What is the IUD classification for intrauterine devices?

Classifications for intrauterine devices, including the copper-containing intrauterine device and levonorgestrel-releasing intrauterine device Clarification: The IUD is not indicated during pregnancy and should not be used because of the risk for serious pelvic infection and septic spontaneous abortion. a.

Is insertion of intrauterine device (IUD) safe for postpartum women?

Clarification: Insertion of IUDs among postpartum women is safe and does not appear to increase health risks associated with IUD use such as infection.

What are the treatment options for adhesions on the cervix?

Hysteroscopic lysis of adhesions is the main method of treatment. Dense scar tissue and difficult entry into the cervix may require laparoscopic or ultrasound guidance. Most authors use an intrauterine stent and follow treatment with sequential estrogen and progesterone therapy.

What does category B1 mean for intrauterine devices?

TABLE B1. Classifications for intrauterine devices, including the copper-containing intrauterine device and levonorgestrel-releasing intrauterine device Condition Category Category Category Category Cu-IUD LNG-IUD LNG-IUD LNG-IUD LNG-IUD Pregnancy 4 4 4 4 Age