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asherma

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There are 7 letters in ASHERMA ( A1E1H4M3R1S1 )

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ASHERMA - Asherman's syndrome (AS), which is also referred to as intrauterine adhesions (IUA) or intrauterine synechiae, is an acquired uterine condition that ...

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Asherma might refer to
Asherman's syndrome (AS), which is also referred to as intrauterine adhesions (IUA) or intrauterine synechiae, is an acquired uterine condition that occurs when scar tissue (adhesions) form inside the uterus and/or the cervix. It is characterized by variable scarring inside the uterine cavity, where in many cases the front and back walls of the uterus stick to one another. AS can be the cause of menstrual disturbances, infertility, and placental abnormalities. Although the first case of intrauterine adhesion was published in 1894 by Heinrich Fritsch, it was only after 54 years that a full description of Asherman syndrome was carried out by Israeli gynecologist Joseph Asherman. A number of other terms have been used to describe the condition and related conditions including: uterine/cervical atresia, traumatic uterine atrophy, sclerotic endometrium, and endometrial sclerosis.There isn't any one cause of AS. Risk factors can include myomectomy, Cesarean section, infections, age, genital tuberculosis, and obesity. Genetic predisposition to AS is being investigated. There are also studies that show that a severe pelvic infection, independent of surgery may cause AS . AS can develop even if the woman has not had any uterine surgeries, trauma, or pregnancies. While rare in North America and European countries, genital tuberculosis is a cause of Asherman's in other countries such as India.Many online resources list dilation and curettage (D&C) as a cause of AS. These terms are often used interchangeably and can cause confusion. There are not any studies that directly make this link. As stated by the Journal of Obstetrics and Gynecology Canada: "The true incidence and prevalence are unknown, as most women do not undergo routine evaluation of their uterine cavity following pregnancy termination or management of early pregnancy loss. In addition, there are no longitudinal studies evaluating adhesion formation post-D&C in women with previously documented normal uterine cavities. Such D&Cs are often performed by on-call or rotating health care providers who will not have follow-up contact with the woman, thus perpetuating the difficulty in ascertaining the true rate of occurrence of this complication." First trimester miscarriages and elective abortions use vacuum aspiration (also known as suction curettage) is surgical management that does not result in AS. Into the second trimester is when D&C is performed.
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