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Secondary Infertility on account of Ashermans Syndrome
Discussion in 'All Categories' started by Dr Taiwo Gabriel .O - Jun 10th, 2012 3:58 am.
Dr Taiwo Gabriel .O
Dr Taiwo Gabriel .O
A cousin of mine had 16 yrs history of Amenorrhoea following her Caesarean operation. She has had adhesiolysis on 3 occassions,and Hysteroscopic adhesiolysis in a Nigerian private hospital 6months ago without any success.She still desires a baby. Presently 41yrs old. We want to access treatment in your World acclaimed facility.Please kindly furnish me with the details and the contacts in your centre. Thanks
Dr Taiwo, G.O
re: Secondary Infertility on account of Ashermans Syndrome by Dr J S Chowhan - Jun 12th, 2012 6:15 am
Dr J S Chowhan
Dr J S Chowhan
Dear Dr Taiwo, G.O

Amenorrhoea is many causes and it need thorough work out to find out cause of this problem. Most typical reason for amenorrhea include issues with the reproductive organs or using the glands which help regulate hormone levels. Treatment of the actual condition often resolves amenorrhea in many conditions.

Amenorrhea has following Causes

Amenorrhea migh result due to an abnormality in the hypothalamic-pituitary-ovarian axis, anatomical abnormalities of the genital tract, or functional causes.

Hypothalamic causes

Kallmann syndrome
Nutritional deficiency
Low body weight or growth delay

Pituitary causes

Other pituitary tumors, for instance, Cushing syndrome, acromegaly, or thyroid-stimulating hormone.
Postpartum pituitary necrosis death of pituitary cells following a woman offers a baby
Autoimmune hypophysitis, cells of the anterior pituitary gland destroyed through the body
re: Secondary Infertility on account of Ashermans Syndrome by Dr J S Chowhan - Jun 12th, 2012 6:26 am
Dr J S Chowhan
Dr J S Chowhan
Dear Gabriel

Asherman syndrome is the formation of intrauterine adhesions with thick scar tissue, which typically develop after uterine surgery. Asherman syndrome is a rare condition in reproductive age group female. In most cases, it occurs in women who have had several dilatation and curettage (D&C) procedures for the infirtility or dysmenorrhoea or any other uterine disease.

A severe pelvic infection in woman sometime unrelated to surgery may also lead to Asherman syndrome.

Intrauterine adhesions can also form in some woman after infection with tuberculosis or schistosomiasis. These infections are common in developing country and uterine complications such as Asherman syndrome related to these infections are even common.

Treatment of Asherman Syndrome involves hysteroscopic surgery to cut and remove the adhesions or scar tissue. This can usually be done with hysteroscopy, which uses small micro instruments and a camera mounted telescope placed into the uterus through the cervix.

So again I will advice that you should bring your cousin to our hospital or consult any good gynecologist who can perform operative hysteroscopy on her if asherman syndrome is the problem.

With regards
J.S. Chowhan

After scar tissue is removed, the uterine cavity must be kept open while it heals to prevent adhesions from returning. Your health care provider may place a small balloon inside the uterus for several days and prescribe estrogen therapy while the uterine lining heals.

Antibiotic treatment may be necessary if there is an infection.
re: Secondary Infertility on account of Ashermans Syndrome by Samir - Aug 8th, 2012 4:15 am
I understand your anger. I was balicasly pushed into a hysterectomy after my last baby (the 4th boy in our family). And even though it was "the best for our family" and "the healthiest for my body" and all kinds of other superlative choice I'm angry too. And I got depressed even with my wonderful boys & a great life. It's the possibilities we leave behind which we come to regret the most. There are no choices, and that is the root of the anger.I once read a true story about a nun who ran to her Mother Superior in tears about realizing that she had hit menopause. And the author wrote, in kind and compassionate reflection, that it was not that the nun wanted to have children she was in tears over the loss of the POSSIBILITY of children.I'm usually a lurker, but your post struck a chord as I have been without my uterus for only nine months. I encourage you to explore and try all options humanly possible. Don't be left with regret.
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