Alleviating ashermans: a success story

Authors

  • Esha Das Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India
  • Sarita Agrawal Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20251605

Keywords:

Asherman, Hysteroscopy, Tuberculosis, Infertility

Abstract

Asherman syndrome (AS) is characterised by formation of intrauterine synechia due to the destruction of basal layer of endometrium. It presents as oligomenorrhea, amenorrhoea and infertility. Treating Ashermans is a challenge. Patient XYZ, 28 years, presented with complaints of amenorrhea for 11/2 years. She was diagnosed with Ashermans Syndrome outside but the treatment did not work. We first gave cyclical hormones followed by hysteroscopic adhesiolysis. She conceived immediately after return of menses and delivered a term baby. Currently she has regular menstruation. Conclusion: Building up the endometrium on hormonal support pre- and post-surgery and instant conception on return of menstruation was the factor leading to successful management.

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References

Smikle C, Yarrarapu SNS, Khetarpal S. Asherman Syndrome. In: StatPearls. Treasure Island (FL). 2022.

Fowler ML, Mahalingaiah S. Case report of pelvic tuberculosis resulting in Asherman’s syndrome and infertility. Fert Res and Prac. 2019;5(1):8. DOI: https://doi.org/10.1186/s40738-019-0061-0

Bhandari S, Bhave P, Ganguly I, Baxi A, Agarwal P. Reproductive outcome of patients with Asherman’s syndrome: a SAIMS experience. J Reprod Infert. 2015;16(4):229.

Conforti A, Alviggi C, Mollo A, De Placido G, Magos A. The management of Asherman syndrome: a review of literature. Reprod Biol Endocrinol. 2013;11:1-11. DOI: https://doi.org/10.1186/1477-7827-11-118

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Published

2025-05-29

How to Cite

Das, E., & Agrawal, S. (2025). Alleviating ashermans: a success story. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 14(6), 2012–2013. https://doi.org/10.18203/2320-1770.ijrcog20251605

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Section

Case Reports