Experiencing Asherman’s Syndrome

[摘要] So have you heard of Asherman’s Syndrome? Like me, this may stir up some distant memory in the back of your mind from a lecture sometime at medical school. But that’s probably it. Certainly this was my experience, until I was diagnosed with it.Asherman’s is characterised by adhesions in the uterus typically caused through trauma to the basal layer of the endometrium through curettage of a pregnant uterus.1,2 This means that it often occurs, as in my case, following surgical management of a miscarriage. The resultant effects are reduced or absent menstruation.Why then, if one in four pregnancies result in miscarriage in the UK,3 are we not more familiar with this term? I suspect it is because typically it is only discovered through the long road of fertility investigations occurring away from primary care.Through my own personal exploration of this condition, I discovered that many primary care colleagues like myself were unaware of this as a diagnosis and its presentation.

[学科分类] 卫生学