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Uterine synechiae

MedGen UID:: 57629
•Concept ID:: C0156372
•: Disease or Syndrome

Synonyms:	Asherman syndrome; Asherman's syndrome; Intrauterine synechiae
SNOMED CT:	Asherman's syndrome (48236007); Asherman syndrome (48236007); Traumatic intrauterine synechiae syndrome (48236007)
Modes of inheritance:	Not genetically inherited MedGen UID: 988794 •Concept ID: CN307044 • Finding Source: Orphanet clinical entity without genetic inheritance. See: This record Not genetically inherited (Orphanet)

HPO:	HP:0030712
Monarch Initiative:	MONDO:0015299
Orphanet:	ORPHA137686

Definition

Adhesions or scar tissue that form inside the cavity of the uterus. [from HPO]

Term Hierarchy

GTR
MeSH

CClinical test, RResearch test, OOMIM, GGeneReviews, VClinVar

CROGVUterine synechiae

Abnormality of the genital system
- Abnormal reproductive system morphology
  - Abnormality of the female genitalia
    - Abnormal morphology of female internal genitalia
      - Congenital uterine anomaly
        Abnormal uterus morphology
        Uterine synechiae

Professional guidelines

PubMed

Anatomical causes of female infertility and their management.

Abrao MS, Muzii L, Marana R
Int J Gynaecol Obstet 2013 Dec;123 Suppl 2:S18-24. Epub 2013 Sep 11 doi: 10.1016/j.ijgo.2013.09.008. PMID: 24119894

The endoscopic management of uterine synechiae. A clinical study of 78 cases.

Socolov R, Anton E, Butureanu S, Socolov D
Chirurgia (Bucur) 2010 Jul-Aug;105(4):515-8. PMID: 20941974

The treatment of uterine synechiae with the help of iatrogenic pseudopregnancy. Anatomic and functional results.

Onetto E, Saavedra R, Crisosto C, Hamblen EC
Int J Fertil 1965 Jul-Sep;10(3):217-24. PMID: 5837552

See all (5)

Recent clinical studies

Etiology

Are synechiae a complication of laparotomic myomectomy?

Capmas P, Pourcelot AG, Fernandez H
Reprod Biomed Online 2018 Apr;36(4):450-454. Epub 2018 Feb 2 doi: 10.1016/j.rbmo.2018.01.010. PMID: 29454580

An overview of the results of hysterosonography prior to in vitro fertilization.

Lopes VM, Barguil JP, Lacerda TS, Souza ALM, Rocha Filho AMD, Roller MF, Barbosa EA, Tierno NZ, Lopes JRC
JBRA Assist Reprod 2017 Dec 1;21(4):302-305. doi: 10.5935/1518-0557.20170051. PMID: 28960053 Free PMC Article

Risk of postpartum uterine synechiae following uterine compression suturing during postpartum haemorrhage.

Ibrahim MI, Raafat TA, Ellaithy MI, Aly RT
Aust N Z J Obstet Gynaecol 2013 Feb;53(1):37-45. Epub 2012 Nov 20 doi: 10.1111/ajo.12017. PMID: 23163583

Uterine synechiae and pregnancy complications.

Tuuli MG, Shanks A, Bernhard L, Odibo AO, Macones GA, Cahill A
Obstet Gynecol 2012 Apr;119(4):810-4. doi: 10.1097/AOG.0b013e31824be28a. PMID: 22433345

Hysteroscopic management of uterine synechiae: a series of 102 observations.

Roge P, D'Ercole C, Cravello L, Boubli L, Blanc B
Eur J Obstet Gynecol Reprod Biol 1996 Apr;65(2):189-93. doi: 10.1016/0301-2115(95)02342-9. PMID: 8730623

See all (27)

Diagnosis

Intrauterine Linear Echogenicities in the Gravid Uterus: What Radiologists Should Know.

Jensen KK, Oh KY, Kennedy AM, Sohaey R
Radiographics 2018 Mar-Apr;38(2):642-657. doi: 10.1148/rg.2018170062. PMID: 29528829

Are synechiae a complication of laparotomic myomectomy?

Capmas P, Pourcelot AG, Fernandez H
Reprod Biomed Online 2018 Apr;36(4):450-454. Epub 2018 Feb 2 doi: 10.1016/j.rbmo.2018.01.010. PMID: 29454580

Role of 3D sonohysterography in the investigation of uterine synechiae/asherman's syndrome: pictorial assay.

Ahmadi F, Javam M
J Med Imaging Radiat Oncol 2014 Apr;58(2):199-202. Epub 2013 Dec 3 doi: 10.1111/1754-9485.12137. PMID: 24314038

Uterine synechiae and pregnancy complications.

Tuuli MG, Shanks A, Bernhard L, Odibo AO, Macones GA, Cahill A
Obstet Gynecol 2012 Apr;119(4):810-4. doi: 10.1097/AOG.0b013e31824be28a. PMID: 22433345

Combined transvaginal tubal catheterization and adhesiolysis of filmy uterine synechiae performed with a newly developed device under the guidance of digital road mapping fluoroscopy.

Eckstein N, Orron DE, Vagman I, Papo J, Barnan R, Ayalon D
Fertil Steril 1993 Jun;59(6):1325-8. doi: 10.1016/s0015-0282(16)56001-4. PMID: 8495787

See all (23)

Therapy

Are synechiae a complication of laparotomic myomectomy?

Capmas P, Pourcelot AG, Fernandez H
Reprod Biomed Online 2018 Apr;36(4):450-454. Epub 2018 Feb 2 doi: 10.1016/j.rbmo.2018.01.010. PMID: 29454580

Hysteroscopic management of uterine synechiae: a series of 102 observations.

Roge P, D'Ercole C, Cravello L, Boubli L, Blanc B
Eur J Obstet Gynecol Reprod Biol 1996 Apr;65(2):189-93. doi: 10.1016/0301-2115(95)02342-9. PMID: 8730623

Placenta accreta following lysis of uterine synechiae (Asherman's Syndrome).

Georgakopoulos P
J Obstet Gynaecol Br Commonw 1974 Sep;81(9):730-3. doi: 10.1111/j.1471-0528.1974.tb00550.x. PMID: 4547270

Traumatic uterine synechiae.

Karimi R, Chapman K
Ir J Med Sci 1974 Nov;143(6):319-24. doi: 10.1007/BF03004783. PMID: 4474150

The treatment of uterine synechiae with the help of iatrogenic pseudopregnancy. Anatomic and functional results.

Onetto E, Saavedra R, Crisosto C, Hamblen EC
Int J Fertil 1965 Jul-Sep;10(3):217-24. PMID: 5837552

See all (19)

Prognosis

Uterine synechiae after intrauterine device use: a case series.

Abel MK, Wald K, Cedars MI, Noel M
J Assist Reprod Genet 2021 Oct;38(10):2625-2629. Epub 2021 Apr 8 doi: 10.1007/s10815-021-02173-6. PMID: 33830411 Free PMC Article

An overview of the results of hysterosonography prior to in vitro fertilization.

Accuracy of three dimensional ultrasound and treatment outcomes of intrauterine adhesion in infertile women.

Kim MJ, Lee Y, Lee C, Chun S, Kim A, Kim HY, Lee JY
Taiwan J Obstet Gynecol 2015 Dec;54(6):737-41. doi: 10.1016/j.tjog.2015.10.011. PMID: 26700995

Role of laporoscopy-hysteroscopy in cases of infertility with pregnancy outcome.

Neerja, Jain K
J Indian Med Assoc 2014 Feb;112(2):85-6, 88. PMID: 25935960

Uterine synechiae in pregnancy: expanded criteria for recognition and clinical significance in 28 cases.

Finberg HJ
J Ultrasound Med 1991 Oct;10(10):547-55. doi: 10.7863/jum.1991.10.10.547. PMID: 1942220

See all (11)

Clinical prediction guides

Are synechiae a complication of laparotomic myomectomy?

Capmas P, Pourcelot AG, Fernandez H
Reprod Biomed Online 2018 Apr;36(4):450-454. Epub 2018 Feb 2 doi: 10.1016/j.rbmo.2018.01.010. PMID: 29454580

An overview of the results of hysterosonography prior to in vitro fertilization.

Hysteroscopic management of uterine synechiae: a series of 102 observations.

Roge P, D'Ercole C, Cravello L, Boubli L, Blanc B
Eur J Obstet Gynecol Reprod Biol 1996 Apr;65(2):189-93. doi: 10.1016/0301-2115(95)02342-9. PMID: 8730623

Cervical isthmic adhesions and the endometrium: hysteroscopic study (suggestion for an endometrial inhibiting factor).

Montevecchi L, Vecchione A
Acta Eur Fertil 1988 Jan-Feb;19(1):13-6. PMID: 3414326

Uterine synechiae: variations in severity and some conditions which may be conducive to severe adhesions.

Buttram VC Jr, Turati G
Int J Fertil 1977;22(2):98-103. PMID: 20418

See all (16)

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Uterine synechiae

Definition

Term Hierarchy

Professional guidelines

PubMed

Recent clinical studies

Etiology

Diagnosis

Therapy

Prognosis

Clinical prediction guides

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Table of contents

Clinical resources

Practice guidelines

Consumer resources

Reviews

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