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Asherman syndrome: risk factors, clinical criteria and diagnosis in current literature

By
Dra. Nancy Yolanda Urbina Romo ,
Dra. Nancy Yolanda Urbina Romo

Universidad Regional Autónoma de los Andes, Uniandes Ambato–Ecuador

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Daniel Alejandro Sánchez Álvarez ,
Daniel Alejandro Sánchez Álvarez

Universidad Regional Autónoma de los Andes, Uniandes Ambato–Ecuador

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Dra. María Ilusión Solís Sánchez ,
Dra. María Ilusión Solís Sánchez

Universidad Regional Autónoma de los Andes, Uniandes Ambato–Ecuador

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Abstract

Asherman's syndrome is a condition characterized by the presence of uterine adhesions or uterine synechiae that are caused by unintentional trauma, severe infections or endometrial hypoxia in a pregnant uterus. The aim of the study was to identify the main risk factors and diagnostic alternatives for Asherman's syndrome through literature review. In an effort to better understand Asherman's syndrome, a descriptive documentary study reviewed articles published from 2019 to 2023 in high-impact journals, selecting 17 for analysis. These included case studies and theoretical sources, highlighting the still unknown pathophysiology of the syndrome. It was confirmed that diagnosis is mainly based on hysterosalpingography and hysteroscopy, although these methods do not guarantee complete endometrial recovery, leading to high recurrence rates and low conception success rates. This underscores the need for complementary therapies to restore the uterine cavity and prevent new adhesions. In addition to the medical challenges, the study highlights the significant emotional and psychological impact of the syndrome, underscoring the importance of emotional and psychological support for those affected, as well as the need to raise awareness and support research to improve their quality of life. In conclusion, partial or total obstruction of the uterine cavity by adhesions is noted as a risk, emphasizing the need for a multidisciplinary approach to treatment. The study highlights the absence of clinical guidelines and awareness in Ecuador, which hinders the management of this condition

How to Cite

1.
Urbina Romo NY, Sánchez Álvarez DA, Solís Sánchez MI. Asherman syndrome: risk factors, clinical criteria and diagnosis in current literature. Salud, Ciencia y Tecnología [Internet]. 2024 Apr. 4 [cited 2024 Jul. 27];4:932. Available from: https://revista.saludcyt.ar/ojs/index.php/sct/article/view/932

The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.

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