Intrauterine adhesions (adhesions), or the so-called Asherman's syndrome, are a partial or complete imperforate uterus.
There are several possible reasonsoccurrence of intrauterine adhesions: inflammation, trauma and hormonal imbalance. The main factor considered uterine mucosa injury after childbirth or abortion, and, subsequently, the development of inflammation. The occurrence of intrauterine adhesions is very likely in women with pregnancy stops developing. Intrauterine adhesions can also occur after operations on the uterus, in addition, the disease can also provoke intrauterine device (coil).
The most convenient and commonly used classification of intrauterine adhesions on the prevalence of:
- I degree - involved less than 1/4 of the volume of the uterus, adhesions thin pipe openings are free;
- Grade II - involved from 1/4 to 3/4 volume of the cavity of the uterus, adhesion no walls, only spikes, pipe openings partially closed;
- Grade III - involved more than 3/4 of the volume of the uterus.
Depending on the extent of the uterine cavity imperforateintrauterine adhesions occur scanty menses or their complete absence. The consequence of getting infertility or inability to tolerate pregnancy, ie, constant miscarriages. In the case of imperforate bottom uterus mozhen disrupt the outflow of menstrual blood, and as a result, severe inflammation. In the presence of adhesions in the pregnant uterus is unlikely, even in case of artificial insemination.
For the diagnosis of intrauterine adhesions applyX-ray picture of the uterus after the introduction into it of a special contrast medium, ultrasound examination of the inside of the uterus using a special device (hysteroscopy).
Currently, the only treatmentintrauterine adhesions is their dissection under direct control of the hysteroscope without damaging healthy tissue to restore normal menstrual cycle and the possibility of conceiving and carrying a child. The nature of the operation, its effectiveness, and the final results depend on the type and degree of intrauterine adhesions uterus imperforate.