ASCHERMAN SYNDROME: FROM ETIOLOGY TO PREVENTION
https://doi.org/10.52485/19986173_2024_2_122
Abstract
Asherman's syndrome is a mysterious, multifaceted disease characterized by the formation of
intrauterine synechiae, up to complete obliteration of the uterine cavity. This is a very controversial topic
because of its pronounced effect on both the reproductive prognosis (infertility, habitual miscarriage) and
gynecological symptoms (menstrual dysfunction of the type of oligo-amenorrhea). Although the syndrome
has been extensively studied, there is no clear evidence of both its prevention and effective treatment. The
main reason for the formation of intrauterine adhesions is recognized by most authors as endometrial injury.
Understanding the pathogenesis of their formation is necessary to prevent the development of endometrial
fibrosis and sclerosis. The review article presents in detail the causes of the disease, risk factors, clinical
manifestations, and methods for diagnosing this syndrome. Therapeutic measures are presented in step-bystep low-traumatic ways to eliminate intrauterine adhesions with subsequent restoration of menstrual and
reproductive functions. Particular attention is paid to anti-relapse prevention through the prescription of
intrauterine anti-adhesion gels.
About the Authors
O. V. Remneva
Altai State Medical University
Russian Federation
Russian Federation
40 Lenina av., Barnaul, 656038
O. A. Belnickaya
Altai State Medical University
Russian Federation
Russian Federation
40 Lenina av., Barnaul, 656038
M. B. Igitova
Altai State Medical University
Russian Federation
Russian Federation
40 Lenina av., Barnaul, 656038
N. I. Fadeeva
Altai State Medical University
Russian Federation
Russian Federation
40 Lenina av., Barnaul, 656038
S. F. Garanin
Altai State Medical University
Russian Federation
Russian Federation
40 Lenina av., Barnaul, 656038
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Review
For citations:
Remneva O.V., Belnickaya O.A., Igitova M.B., Fadeeva N.I., Garanin S.F. ASCHERMAN SYNDROME: FROM ETIOLOGY TO PREVENTION. Transbaikalian Medical Bulletin. 2024;(2):122-134. (In Russ.) https://doi.org/10.52485/19986173_2024_2_122
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