Asherman's syndrome ultrasound

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor-In-Chief: Saud Khan M.D.

Overview

Ultrasound on its own is not a diagnostic modality, it however is an important tool to rule out other causes of amenorrhea before confirming the diagnosis of Asherman's syndrome.

Ultrasonography

Ultrasonography is not a reliable method of diagnosing Asherman's Syndrome. A very thin endometrium following amenorrhea, or endometrial irregularity with hyperechoic regions may be suggestive of adhesions. It is more often evaluated initially with saline sonography or hysterosalpingography to demonstrate adhesions. Hysteroscopy remains the gold standard for diagnosing, classifying and treating the disease.[1]

References

  1. AAGL Elevating Gynecologic Surgery (2017). "AAGL Practice Report: Practice Guidelines on Intrauterine Adhesions Developed in Collaboration With the European Society of Gynaecological Endoscopy (ESGE)". J Minim Invasive Gynecol. 24 (5): 695–705. doi:10.1016/j.jmig.2016.11.008. PMID 28473177.


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