Helen, I have thoroughly read the articles that you have passed on,
thank you for the information. Last December, I prematurely lost twin
boys at 24 weeks, and had a D and C to remove placenta growth. Due to
this, I developed Asherman's Syndrome. Since January, I have had two
surgical procedures to remove this scar tissue. After this second
surgery, I have been placed on a tremendous amount of estrogen for 6
weeks, we will then start Provera to se where we are. I cannot find any
information regarding multiple treatments or surgeries for this, or if
there is a facility or physician specializing in Asherman's. Due you
have any additional info? Thank you, Carol
> >[] ASHERMAN's SYNDROME > >http://www.ashermans.freeservers.com/medical.htm > >Asherman's syndrome is the occlusion or obliteration of the uterine cavity >due to damage to the lining of the cavity ( endometrium ). This is not >common but is important to recognize it if indeed present. When the >endometrium is destroyed beyond a certain depth ( believed to be the basalis >level which is the level that promotes subsequent growth ) in the context of >hypoestrogenism ( a low circulating estrogen concentration ) then permanent >scar tissue can easily form within the cavity. Clinical situations that >increase the chance of Asherman's Syndrome include: > >* overzealous dilatation and curettage ( D&C )...especially for a missed >abortion, postpartum bleeding, or septic abortion, > >* intrauterine surgery to remove fibroid tumors, > >* uterine structural defects ( septum, bicornuate uterus, large polyps ), > >* or at cesarean section infections related to IUD use ( or the placement of >any foreign object within the uterine cavity ), > >* some uncommon infections of the uterus ( such as intrauterine tuberculosis >or Schistosomiasis ) > >* or radium insertion into the uterus for the treatment of gynecologic >cancers.