Intrauterine adhesions (or Asherman's syndrome) usually occurs after dilatation and curettage for elective pregnancy termination or after surgical treatment for miscarriage. It can also result from overenthusiastic hysteroscopic resections or open myomectomy. Patients usually present with hypo- or amenorrhoea.
The mainstay of diagnosis is by HSG or hysteroscopy. The consequences are infertility and, if pregnancy occurs, fetal growth restriction and intrauterine fetal death. These are due to reduced cavity size, deficient endometrium, myometrial fibrosis and decreased uterine blood flow. Treatment is by operative hysteroscopic adhesiolyis done under laparoscopic or ultrasound guidance to maintain orientation and limit risks of perforation.