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Asherman’s syndrome – an important clinical update

The patient is a 36-year-old G2P2 female with a complex gynaecological history, including a previous diagnosis of Asherman’s syndrome. She presented to an outpatient clinic with complaints of increasing pelvic pain, intermenstrual bleeding and subfertility. The patient detailed a 12-month history of increasing pelvic pain. She also reported intermenstrual bleeding, lasting up to one week. The patient reported that her menstrual flow had significantly decreased over the last 12 months. The patient and her husband had a strong desire to have a third child and the ongoing implications of Asherman’s syndrome could be seen to have a significant emotional impact on the couple.

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