{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T20:28:34Z","timestamp":1792268914600,"version":"4.4.0"},"reference-count":15,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,5,26]],"date-time":"2020-05-26T00:00:00Z","timestamp":1590451200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The diagnosis of Asherman syndrome, or \u2018intra\u2010uterine adhesions\u2019 is often overlooked when the symptoms of amenorrhea and hematometra are missing.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>This audit reviews the clinical data of a large cohort of patients treated by a single operator.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>From July 1998 till the end of December 2017, 423 patients with intra\u2010uterine adhesions were treated by a single operator. Clinical information was obtained by review of the medical files and phone interviews.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Amenorrhea was recorded in 163\/423 patients (38.5%), 225\/423 (53.2%) patients did not have amenorrhea and for 35\/423 (8.3%) patients the information was missing. A hematometra was documented in 19\/423 (4.5%) patients. Pregnancy was achieved in 215\/246 (87.4%). Patients with stage II disease did best with a pregnancy rate of 94.5% (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.029).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Asherman syndrome should be considered in any woman with a history of miscarriage or postpartum curettage who then fails to conceive again.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13182","type":"journal-article","created":{"date-parts":[[2020,5,27]],"date-time":"2020-05-27T05:55:20Z","timestamp":1590558920000},"page":"574-578","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Asherman syndrome: Audit of a single\u2010operator cohort of 423 cases"],"prefix":"10.1111","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9032-7020","authenticated-orcid":false,"given":"Thierry","family":"Vancaillie","sequence":"first","affiliation":[{"name":"Department of Women\u2019s and Children University of New South Wales Sydney New South Wales Australia"},{"name":"Women\u2019s Health and Research Institute of Australia Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Women\u2019s and Children University of New South Wales Sydney New South Wales Australia"},{"name":"Department of Gynaecology Royal Hospital for Women Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinzhu","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Women\u2019s and Children University of New South Wales Sydney New South Wales Australia"},{"name":"Women\u2019s Health and Research Institute of Australia Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Deans","sequence":"additional","affiliation":[{"name":"Department of Women\u2019s and Children University of New South Wales Sydney New South Wales Australia"},{"name":"Department of Gynaecology Royal Hospital for Women Sydney New South Wales Australia"},{"name":"Sydney Children\u2019s Hospital Sydney New South Wales Australia"},{"name":"Genea Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Howard","sequence":"additional","affiliation":[{"name":"Women\u2019s Health and Research Institute of Australia Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,5,26]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/dey237"},{"key":"e_1_2_6_3_1","unstructured":"WamstekerK.European Society for Hysteroscopy (ESH) Classification 1989."},{"key":"e_1_2_6_4_1","volume-title":"Manual of Hysteroscopy","author":"Van Der Pas 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