Prevalence of Asherman Syndrome risk factors and infertility among Australian women.
Synopsis
Asherman Syndrome
(AS), is defined as scar tissue from trauma to the uterus that causes symptoms
(e.g. amenorrhea, infertility, miscarriage). Prevalence evidence is poor and likely
underestimated – ranging from 4.6%-40%. Risk factors, and methods to prevent AS
have been long understood, however lower risk procedures such as expectant and
pharmacological management of miscarriage, and ultrasound guided invasive
procedures, are not widely practiced. Risks for AS and impacts on fertility are
still communicated to women as ‘rare’ if mentioned at all, impacting their
ability to give informed consent. This study aims to quantify women’s
experiences of uterine trauma and subsequent infertility.