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Asherman's syndrome (AS) is an acquired uterine condition that occurs when scar tissue forms inside the uterus and/or the cervix. [1] It is characterized by variable scarring inside the uterine cavity, where in many cases the front and back walls of the uterus stick to one another.
A uterine scar from a previous cesarean section is the most common risk factor. (In one review, 52% had previous cesarean scars.) [ 8 ] Other forms of uterine surgery that result in full-thickness incisions (such as a myomectomy ), dysfunctional labor, labor augmentation by oxytocin or prostaglandins , and high parity may also set the stage for ...
Tubal factor infertility (TFI) is female infertility caused by diseases, obstructions, damage, scarring, congenital malformations or other factors which impede the descent of a fertilized or unfertilized ovum into the uterus through the fallopian tubes and prevents a normal pregnancy and full term birth.
Cervical canal widening can be temporarily achieved by the insertion of dilators into the cervix. If the stenosis is caused by scar tissue, a laser treatment can be used to vaporize the scarring. [5] Finally, the surgical enlargement of the cervical canal can be performed by hysteroscopic shaving of the cervical tissue. [6]
Typically, the endometrial tissue adheres to the exteriors of the organs, and then creates attachments of scar tissue called adhesions that can join adjacent organs together. The endometrial tissue and the adhesions can block a fallopian tube and prevent the meeting of ovum and sperm cells, or otherwise interfere with fertilization ...
This can be caused by the formation of scar tissue due to one or more episodes of PID, and can lead to tubal blockage. Both of these increase the risk of the inability to get pregnant, [27] and 1% results in an ectopic pregnancy. [40] Chronic pelvic/abdominal pain develops post PID 40% of the time. [40]
To treat a cesarean scar disorder is mainly dependent on the amount of symptoms and whether or not a woman still wants to get pregnant. Please always consult with your own doctor if you think you have a cesarean scar disorder and if you think that it needs treatment. A niche can be treated on multiple ways. [11]
Risk factors include untreated pelvic inflammatory disease, likely due to fallopian tube scarring. [41] Treatment: In most cases, keyhole surgery must be carried out to remove the fetus, along with the fallopian tube. If the pregnancy is very early, it may resolve on its own, or it can be treated with methotrexate, an abortifacient. [42]
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