A Uterus With Asherman's Syndrome, Internal View

Description

Within the uterine cavity, fibrous intrauterine adhesions span between the anterior and posterior walls, progressively partitioning the endometrial space. The animation tracks the cavity from the fundus inferiorly toward the isthmus, where scar bands converge at the internal os and narrow, then occlude, the endocervical canal. Cornual regions are intermittently obscured as synechiae bridge across the lateral walls. Lumen continuity is lost. Asherman’s syndrome most often follows endometrial trauma, classically after dilation and curettage in the setting of postpartum hemorrhage or retained products, and the mechanical consequence is an obliterated cavity with poor endometrial regeneration. The sequential internal view clarifies how adhesions convert a single triangular cavity into separate loculations, explaining infertility, recurrent pregnancy loss, hypomenorrhea, and cyclic pelvic pain when outflow is partially blocked. It also mirrors the hysteroscopic impression a surgeon encounters, where orientation can be difficult once normal landmarks at the tubal ostia and lower uterine segment are distorted. Use this animation in reproductive endocrinology and infertility teaching, hysteroscopy training modules (lysis of adhesions and postoperative cavity restoration), and patient-facing counseling materials that need a clear depiction of intrauterine synechiae and cervical canal obstruction. It also fits OB-GYN board review content on secondary amenorrhea and postprocedural uterine scarring. Anatomical accuracy verified by SciePro's Medical Advisory Board.