Asherman’s Syndrome and Surgical Technique

Asherman’s Syndrome and Surgical Technique

 

Asherman’s Syndrome and Surgical Technique are linked. The surgical technique used in the procedure is relevant since sharp curettage or mechanical suction imposes increased risk for the development of adhesions compared to manual vacuum aspiration (Gilman et al., 2016).

As such, medical awareness seems to be important in minimizing the risk of adhesions. As a matter of fact, the number of D&C in Germany decreased from 77, 115 in 2005 to 51, 342 in 215, representing a reduction of 28%, although the number of diagnosed AS cases only dropped from 181 to 161, which is only an 8% decrease (DESTATIS, 2017).

Many Doctors consider Asherman’s syndrome to be rare and do not guard against it. The D&C procedure is done without being able to see into the cavity and the margin for error therefore is large.

Pressing too hard, using a sharp curettage or misjudging the inside of the uterus can lead to adhesions.

If you have missed periods, painful periods, recurrent miscarriage or a diagnosis of Asherman’s syndrome then get in touch.