title: The Diagnosis and Management of Asherman's Syndrome Developed after Cesarean Section and Reproductive Outcome.
abstract: Intrauterine adhesions (IUAs) frequently occur as a result of trauma to the basal layer of endometrium following pregnancy-related curettage such as incomplete abortion (33,3%), postpartum hemorrhage (37,5%), and elective abortion (8,3%). Hysterotomy, myomectomy, Cesarean section, hysteroscopic procedures, such as resection of submucosal leiomyomata or uterine septae, and endometrial ablation are less common etiologic factors resulting in IUA formation. Patients with Asherman's syndrome usually present with menstrual disturbances, infertility, or recurrent pregnancy loss. A successful treatment of infertility could be achieved by restoration of the uterine cavity, prevention of IUA reformation, and promotion of healing process. We presented the diagnosis and management of a case that suffers from menstrual disturbances and secondary infertility resulted from IUA formation developed after Cesarean section.
authors.affiliation: Department of Obstetrics and Gynecology, Yeditepe University, 34752 Istanbul, Turkey.
authors.forename: Pinar Ozcan
authors.initials: PO
authors.lastname: Cenksoy
authors.forename: Cem
authors.initials: C
authors.lastname: Ficicioglu
authors.forename: Mert
authors.initials: M
authors.lastname: Yesiladali
authors.forename: Ozge
authors.initials: O
authors.lastname: Kizilkale