ABSTRACT

Intrauterine adhesions (synechiae), relatively uncommon in the developed countries, is increasingly witnessed in the developing countries. The diagnosis of this lesion is easier now with the increased usage of hysteroscopy. These adhesions most often occur secondarily to the uterine wall trauma by severe abrasion of the endometrium, particularly when the myometrium is soft and congested, as is the case with the gravid uterus. This condition can be responsible for disturbances of the menstrual cycle (amenorrhoea and hypomenorrhea), infertility, spontaneous abortion and placenta accreta.