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Hysteroscopy can cure Asherman’s Syndrome infertility: Experts

Sentinel Digital DeskBy : Sentinel Digital Desk

  |  20 March 2017 12:00 AM GMT

New Delhi, March 19: Hysteroscopic — a minimally-invasive surgery — is the best medical procedure to treat Asherman’s Syndrome, an acquired uterine condition which causes miscarriages or interferes in conception, said doctors on Saturday. According to the doctors, hysteroscopy becomes important because if it is delayed, women with Asherman’s Syndrome may develop uterine cancer, either before or after menopause.
Whether Asherman’s Syndrome is scarring or synechiae is characterised by the formation of adhesions (scar tissues) inside the uterus and/or the cervix. In many cases, the front and back walls of the uterus stick to one another.
The extent of the adhesions defines whether the case is mild, moderate, or severe. The adhesions can be thin or thick, spotty in location, or confluent. They are usually not vascular, which is an important attribute that helps in treatment.
In hysteroscopy, the surgeon inserts a tiny telescope (hysteroscope) through the cervix into the uterus. “During hysteroscope, surgeon can easily visualise interiors of the uterine cavity on a video monitor. Then they inspect the uterine cavity for any abnormality and then examine the shape of the uterus, the lining of the uterus and looks for any evidence of intrauterine pathology.
“The surgeon also attempts to visualise the openings to the fallopian tubes (tubal ostia),” said Arvind Vaid, an IVF expert from city-based Indira IVF Hospital.
Doctors said that hysteroscopy are of two types — diagnostic hysteroscopy and Operative hysteroscopy. “Diagnostic hysteroscopy is used to diagnose problems of the uterus. Operative hysteroscopy is used to correct an abnormal condition that has been detected during a diagnostic hysteroscopy,” said Vaid. (IANS)

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