Pregnancy outcome after hysteroscopic synechiolysis for intrauterine synechiae (Asherman’s syndrome): case report

Introduction
Destruction of the basal endometrium layer causes intrauterine synechiae (IUS), known as Asherman’s syndrome.

Case description
A 37-year-old, P2+1 woman presented with hypo-menorrhea and infertility following dilatation and curettage done for evacuation of a first trimester missed miscarriage. Postmenstrual hysterosalpingography findings were suggestive for IUS, and she was scheduled for diagnostic and operative hysteroscopies in the same setting for synechiolysis. An intrauterine Foley catheter was inserted after synechiolysis for prevention of IUS recurrence. During follow-up, the studied woman reported significant improvement, and increased her menstrual flow days and amount. Two months after stopping the hormonal replacement therapy, she presented with positive pregnancy, and was admitted to the hospital at 37 weeks + 5 days gestation, and delivered a live baby weighing 2.860 kg.

Conclusions
Hysteroscopy is the gold standard for diagnosis and treatment of IUS. The treatment of IUS associated with significant improvement in the reproductive outcome and menstrual disorders.