An intrauterine adhesion or synechia of the uterus or Asherman's Syndrome corresponds to more or less extensive intrauterine shoulders or flanges. They may be single or multiple; sitting on the cervix (intracervical synechia), the isthmus (isthmic synechia), the uterine body (corporal synechia) or the uterine horns (cornual synechia). They can be partial or total, occupying part or all of the uterine cavity respectively. Herbal tea 272 works well for partial adhesion and the situation becomes very complicated in the case of total intrauterine adhesion. Please advise before starting treatment.

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An intrauterine adhesion can remain asymptomatic to be discovered fortuitously in the search for a cause of infertility or repeated miscarriages by hysterography, hysteroscopy or during an anatomopathological examination of the uterus. In these asymptomatic forms synechia is of little importance.
In the case of intrauterine adhesion or synechia of the uterus or Asherman's Syndrome, anomalies of the menstrual cycle such as hypomenorrhoea (insufficient menstruation) and secondary amenorrhoea (absence of menstruation) due to curettage or intrauterine aspiration are noted.
Synechia has the immediate consequence of female infertility or repeated miscarriages. The presence of intrauterine adhesion is an obstacle preventing the ascent of sperm. Furthermore, synechia can be the cause of endometrial abnormalities making implantation of the pregnancy impossible.
Adhesion often leads to hypofertility and obstetric pathologies in women. Indeed, synechia can be the cause of repeated early abortions, repeated late abortions, premature deliveries, vicious presentation of the foetus during labour, placenta abnormalities (placenta previa, placenta accreta).
In women with these menstrual abnormalities, secondary amenorrhoea may be due to extensive synechia in the uterine cavity or adhesions.
or to very extensive synechia in the uterine cavity; located in the uterine isthmus; these synechia trigger a neurocervical reflex which disrupts the functioning of the endometrium and leads to secondary amenorrhoea.
Hypomenorrhoea is explained by the decrease in the functional surface of the endometrium due to the presence of partial uterine synechia.
Menorrhagia, metrorrhagia and dysmenorrhoea: these are rare manifestations of uterine synechia (are due to other associated lesions).

Likely Causes of Adhesion in the Uterus

Synechia is the result of a trauma to the uterine mucous membrane which has caused the destruction of its basal layer. Thus, an adhesion consists of a simple mucous membrane flange, easily lifted by the passage of the hysteroscope during a diagnostic hysteroscopy. In the absence of treatment, this loose flange becomes fibrous, resistant, more or less thick, then muscular. It is then no longer covered with endometrium. A uterus loses endometrium in the case of persistent synechia.

Risk Factors for Synechia

Synechia can be caused by the following circumstances:

Curettage or aspiration for spontaneous miscarriage or for voluntary termination of pregnancy, post abortum or post partum curettage.

Retention of an arrested pregnancy, placental retention after childbirth or after termination of pregnancy.

Surgical hysteroscopy with fibroid resection, polyp resection, curettage of uterine malformation, endometroctomy, miscarriage during cervical dilatation.

Myomectomy, conization.

Significant atrophy of the endometrium due to hormonal deficiency linked to the menopause.

Uterine infection, endometritis, genital tuberculosis, IUD infection.

Pelvic post-radiotherapy for cancer.

Certain factors favour the development of uterine synechia following endometrial trauma:

softened uterus: this is the case during an advanced pregnancy; retention of a dead egg; postpartum (after childbirth).

the technique of uterine evacuation with a respectively increased risk when using a suction cannula, a foam curette or a window curette.

the occurrence of an infection following uterine evacuation.

the presence of two traumatised areas of the endometrium facing each other, thus favouring healing in the form of a "fibrous bridge" through direct contact

Diagnosis
The diagnosis of synechia must be discussed and confirmed when its presence causes cycle disorders or infertility. Synechia is not visible during a simple consultation with the gynaecologist. It often requires extensive examinations such as

A Pelvic Ultrasound
Often performed as a first intention treatment because it is painless and non-invasive, it can produce an intra-uterine image of a flange, sometimes associated with the presence of blood retention in the uterus (haematometry).

Hysterosalpingography
When exploring the permeability of the fallopian tubes as part of an infertility check-up or when assessing the morphology of the uterine cavity as part of a repeated miscarriage check-up, the diagnosis of synechia is evoked by the presence of an intrauterine image in the form of a flange or a punched hole connecting the two sides of the endometrium. It can be more or less extensive or even completely prevent the opacification of the cavity by the contrast medium.

Diagnostic hysteroscopy
A hysteroscopy is the reference examination to detect synechia of the uterus. It allows the diagnosis to be made by direct visualization of the synechia. Hysteroscopy enables the position and extent of the uterus, the quality of the endometrium remaining in the uterine cavity and the permeability of the tubal openings to be accurately assessed. In the event of a favourable prognosis, this assessment enables the indication for surgery to be made when surgical treatment is envisaged.

 

Herbal Tea 272:Uterine Adherence Natural Solution Synechia of the Uterus

Intrauterine Adhesion Natural Solution Synechy of the Uterus to free the tissues that are attached and allow the woman to become pregnant. Excellent remedy

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  intrauterine adhesion synechia of the uterus Asherman's syndrome

 
 
 
 
 

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