Preventing Asherman’s Syndrome

Whenever undertaking medical treatment you should be offered those preventing Asherman’s Syndrome.

Whether a termination, removal of retained products of conception or following miscarriage natural or medical management should be a priority.

If surgery becomes necessary then there are options which are not often discussed by Doctors.

Although Dilatation and curettage (D&C) being the most frequently used intervention for removing Retained products of conception(RPOC), hysteroscopic resection, in comparison, is associated with lower rates of intrauterine adhesion formation. Hysteroscopic resection gives the advantage of direct visualization of the uterine chamber, thus allowing the removal of RPOC with minimal damage to the endometrium.

Retained product of conception (RPOC) after miscarriage is common, but challenging problem. RPOC may cause persistent vaginal bleeding after miscarriage, infection, and long-term complications, such as intrauterine adhesions (IUAs), even infertility. It needs accurate diagnosis, timely removal of RPOC, and least treatment-related complications.

Treatment

IUAs were reported 29.4% in the D and C group and 12.8% in the hysteroscopic resection group, respectively. The D and C group also had significantly more IUA (P < 0.01). In reproductive outcome, hysteroscopic resection group had an earlier conception tendency than D and C group. From the above findings, Hooker et al. suggested that IUAs and infertility should be considered when women suspected of RPOC are managed.

Call us today

If you’re ready to discuss your situation or have any questions please contact Dr Victoria Handley today. Don’t suffer in silence. Call FREE on 0800 470 2009 or email vhandley@handleylaw.co.uk