What is uterine synechiae in pregnancy?

Uterine synechiae are intrauterine adhesions around which chorioamniotic membranes wrap during pregnancy to produce amniotic sheets or shelves. 1 ,2. They have a characteristically wide base along the uterine wall and associate with fetal membranes that consist of two layers of amnion and two layers of chorion.

What is mild uterine synechiae?

Uterine synechiae are intrauterine adhesions (IUAs). Symptoms may include menstrual disturbance (amenorrhea, hypomenorrhea, or dysmenorrhea), pelvic pain, recurrent spontaneous abortions (SABs), and/or infertility in a female of childbearing age.

What is Fundal Synechiae?

Intrauterine adhesions (IUAs), or synechiae, are scar tissue within the uterine cavity and are referred to as Asherman syndrome when associated with symptoms such as amenorrhea, infertility, or pregnancy loss. Adhesions are commonly caused by previous intrauterine surgery (Table 16.4).

What is placental Synechiae?

Synechiae: (also known as “amniotic sheets” or “amniotic folds”) A synechia is a term meaning an “adhesion”, or a fibrous scar. Uterine synechiae have also been referred to as “amniotic sheets” or “amniotic folds”.

What causes uterine synechiae?

The bonding of uterine scar tissue (intrauterine adhesions or synechiae) may occur as a result of surgical scraping or cleaning of tissue from the uterine wall (dilatation and curettage [D and C]), infections of the endometrium (e.g., genital tuberculosis), or other factors.

Can Synechiae cause infertility?

This condition can cause pelvic pain and abnormal uterine bleeding and can lead to fertility issues.

Can uterine Synechiae be treated?

The reference treatment for uterine synechiae is hysteroscopy, which yields good results. In poor settings, however, hysteroscopy remains inaccessible, and the old method of cervical dilation and sequential estrogen and progestogen therapy is an acceptable alternative.

What causes uterine Synechiae?

Can synechiae cause infertility?

How is uterine synechiae treated?

Can uterine synechiae be treated?

Is uterine synechiae congenital?

The uterus may be congenitally aplastic. Uterine synechiae develop as the consequence of endometritis, which may result from infection or irradiation (Asherman’s syndrome).

What is the incidence of uterine synechia in the US?

The incidence of uterine synechiae is 0.45%, and they are correlated with a significant increase in the risk of preterm premature rupture of membranes, placental abruption, and cesarean delivery due to malpresentation. 10 Therefore, a precise diagnosis of uterine synechia is mandatory for comprehensive perinatal management of a patient.

Do synechiae in the uterus complicate pregnancy?

They usually do not complicate pregnancy. This case demonstrates uterine synechiae, which lie external to the amniotic cavity and indent it. They usually do not complicate pregnancy.

Do uterine synechiae increase the risk of preterm delivery for malpresentation?

Conclusion: Uterine synechiae are associated with significant increase in the risk of preterm PROM, placental abruption, and cesarean delivery for malpresentation. The notion of uterine synechiae as benign findings in pregnancy should be re-evaluated.

Is uterine synechium associated with pyelectasis and aneuploidy?

Postnatal hysteroscopy demonstrated uterine synechium at the uterine fundus, which was resected. Conclusions This is the first case of fetal head entrapment by a uterine synechium. Previous studies are contradictory with regard to the association of isolated pyelectasis and aneuploidy.

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