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Amenorrhoea traumatica following therapeutic abortion: an approach to management.

“Amenorrhoea Traumatica” or Asherman's Syndrome follows vigorous curettage of the endometrium, thus producing adhesion of the uterine walls and secondary amenorrhoea. This condition is especially easily produced in curettage of a soft pregnant uterus where the basal endometrium can readily be denuded. Intrauterine infection probably also plays a part in the aetiology. Diagnosis of the condition should be based on the clinical history and confirmed by hysteroscopic examination, which is both diagnostic and therapeutic. Administration of sex hormones as a diagnostic test is probably not advisable. After lysis of the adhesions, insertion of intrauterine contraceptive device and sequential hormonal therapy are useful in preventing further adhesion formation. Future fertility in these women is as yet unknown.