Features Of Asherman's Syndrome In A Sagittal Section Of The Uterus

Description

Uterine anatomy in midsagittal section is centered on the endometrial cavity, extending from the fundus superiorly to the internal os and cervical canal inferiorly, with the myometrium forming the thick muscular wall around it. Intrauterine synechiae traverse the cavity as fibrous bands, bridging opposing endometrial surfaces and partitioning the space into narrowed recesses. Scarred endometrium appears irregular along the anterior and posterior walls, with adhesions often clustering near the fundus and along the isthmus where instrumentation commonly contacts the lining. Asherman’s syndrome most often follows dilation and curettage in the setting of postpartum hemorrhage or after evacuation of a missed abortion, when basal endometrium is disrupted and fibrosis replaces functional endometrium. Patients present with secondary amenorrhea, hypomenorrhea, cyclic pelvic pain from outflow obstruction, recurrent pregnancy loss, or infertility from impaired implantation and abnormal placentation. The sagittal perspective clarifies how synechiae alter the uterine cavity contour relative to the cervix, a relationship that mirrors what clinicians map during hysteroscopy and what radiologists infer on saline infusion sonohysterography or hysterosalpingography. A tight cavity. Course directors can place this illustration alongside normal endometrial anatomy in reproductive endocrinology blocks, OB-GYN clerkship teaching, and infertility modules that cover postprocedural causes of amenorrhea. Medical publishers will find it suited to chapters on hysteroscopic adhesiolysis, preoperative planning, and counseling about recurrence risk, postoperative estrogen therapy, and intrauterine balloon or IUD placement to limit re-adhesion. Anatomical accuracy verified by SciePro's Medical Advisory Board.