Cervical adhesions, often associated with Asherman syndrome, are primarily caused by surgery on the uterus or dilatation and curettage (D&C).
Understanding Cervical Adhesions and Asherman Syndrome
Cervical adhesions refer to the formation of scar tissue within the cervix. When these adhesions occur within the uterus as well, it is known as Asherman syndrome (intrauterine adhesions or intrauterine synechiae).
Common Causes of Cervical Adhesions
Based on the provided reference, the main causes include:
- Surgery of the uterus: Surgical procedures can sometimes lead to the development of scar tissue within the cervix.
- Dilatation and Curettage (D&C): This procedure, which involves scraping the uterine lining, is a significant risk factor.
- Less Common Causes: In rare instances, infections like tuberculosis and schistosomiasis can contribute to adhesion formation.
Risk Factors Summarized
| Risk Factor | Description |
|---|---|
| Surgery of the Uterus | Any surgical intervention involving the uterus can potentially lead to scarring and adhesion formation. |
| Dilatation and Curettage (D&C) | A procedure used for various reasons, including miscarriage management and abortion, that carries a risk of damaging the uterine lining and causing adhesions. |
| Tuberculosis | A rare infectious cause. |
| Schistosomiasis | Another rare infectious cause. |
