ABSTRACT
Asherman described two different types of traumatic synechiae: stenosis or obliteration of the cervical canal in the vicinity of the internal os, and partial or complete obliteration of the uterine cavity by conglutination of the opposing walls. Dilatation and curettage immediately after a delivery or a miscarriage is the main cause of intrauterine adhesions (75%). Infection might contribute to the development of intrauterine synechiae in 26% of cases. Other causes are cesarean or uterine surgery unassociated with pregnancy. The overall pregnancy rate after hysteroscopic adhesiolysis is 43%, with a live birth rate of 32%.
