Evaluation and treatment of infertile women with Asherman syndrome: an updated review focusing on the role of hysteroscopy
| Autor: | G.A. Vilos, Luigi Della Corte, Pierluigi Giampaolino, Rahul Manchanda, Salvatore Giovanni Vitale, Jose Carugno, Federica Di Guardo, Péter Török |
|---|---|
| Přispěvatelé: | Di Guardo, Federica, DELLA CORTE, Luigi, Angelos Vilos, George, Carugno, Jose, Török, Péter, Giampaolino, Pierluigi, Manchanda, Rahul, Giovanni Vitale, Salvatore |
| Rok vydání: | 2020 |
| Předmět: |
Infertility
medicine.medical_specialty Asherman's syndrome Tissue Adhesions Gynatresia Hysteroscopy Endometrium Therapeutic approach medicine Humans medicine.diagnostic_test Asherman’s syndrome Hysteroscopy Infertility Intrauterine adhesions Synechiae business.industry Uterus Gold standard Obstetrics and Gynecology medicine.disease Surgery medicine.anatomical_structure Reproductive Medicine Concomitant Asherman Syndrome Female Uterine cavity business Infertility Female Intrauterine adhesions Synechiae Developmental Biology |
| Zdroj: | Paediatrics Publications |
| ISSN: | 1472-6483 |
| DOI: | 10.1016/j.rbmo.2020.03.021 |
| Popis: | Asherman syndrome is a rare acquired clinical condition resulting in the obliteration of the uterine cavity causedby the presence of partial or complete fibrous intrauterine adhesions involving at least two-thirds of the uterine cavity potentially obstructing the internal cervical orifice. Common reported symptoms of the disease are alterations of the menstrual pattern with decreased menstrual bleeding leading up to amenorrhoea and infertility. Hysteroscopy is currently considered the gold standard diagnostic and therapeutic approach for patients with intrauterine adhesions. An integrated approach, including preoperative, intraoperative and postoperative therapeutic measures, however, are warranted owing to the complexity of the syndrome. This review aims to summarize the most recent evidence on the recommended preoperative, intraoperative and postoperative procedures to restore the uterine cavity and a functional endometrium, as well as on the concomitant use of adjuvant therapies to achieve optimal fertility outcomes. |
| Databáze: | OpenAIRE |
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