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Asherman’s syndrome

Adhesions inside the uterus after curettage or infection.

Source: Standard teaching
  • Causes: postpartum or post-miscarriage curettage, infection including genital TB (common in Pakistan).
  • Presents with scanty or absent periods, subfertility, recurrent miscarriage.
  • Hysteroscopy is the gold standard for diagnosis and treatment (adhesiolysis).
  • After surgery: oestrogen, balloon or IUD, second-look hysteroscopy.
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