more information

[Guest guest]

Here is somemore information from my doctor

Asherman's Syndrome in the past was treated with a dilation and

curettage to break up the synechiae and, if necessary, an on the table

hysterogram to ensure a free uterine cavity. Hysteroscopy with direct lysis

of adhesions be cutting, cautery or laser yields better results than the blind

dilatation

and curettage. Following operation a method should be utilized to prevent the

sides of the uterine cavity from adhering. Prexiously an IUD was used for this

purpose. however a pediatric Foley catheter appears to be a better option.

The bag is filled with 3 ml fluid and the catheter is removed after 7 days. A

broad spectrum antibiotic is started preoperatively and maintained for 10 days.

An inhibitor of prostaglandin synthesis can be used if uterine cramping is a

problem. The patient is treated for 2 months with high stimulatory doese of

estrogen. When the initial attempts fails to restablish menstrual flow,

repeated attempts are worthwhile. Persistent treatment with procedures may be

necessary to regain reproductive potential. approximately 70-80% of patients

with this condition have achieved a sucessful pregnancy. Pregnancy is

frequently complicated however, by premature labor, placentaa accreta, placents

previa, and or postpartum hemorrhage.

Please remember that I do not know what book this information came out of, but I

do think that it is fairly new because my doctor is only a couple of years out

of Med school.

Hope this helps

Suzanne