AAGL Practice Report: Practice Guidelines for Management of Intrauterine Synechiae

Abstract

Intrauterine adhesions (IUAs) have been recognized as a cause of secondary amenorrhea since the end of the 19th century [1], and in the mid-20th century, Asherman further described the eponymous condition occurring after pregnancy [2]. The terms ‘‘Asherman syndrome’’ and IUAs are often used interchangeably, although the syndrome requires the constellation of signs and symptoms (in this case, pain, menstrual disturbance, and subfertility in any combination) and the presence of IUAs [2]. The presence of IUAs in the absence of symptoms may be best referred to as asymptomatic IUAs or synechiae.