Scar Wars: A New Hope for Prevention & Management of Intrauterine Adhesions | OB/GYN Grand Rounds

Recorded live on November 27th, 2023
In this recorded OB/GYN Grand Rounds presentation, Clinical Fellow at Stanford University School of Medicine Dr. Michael Strug discusses various aspects related to Asherman's syndrome, including its etiology, diagnosis, classification, treatment approaches, prevention strategies, and potential future therapies. Dr. Strug provides a comprehensive overview of the condition, discussing risk factors, diagnostic methods, and the American Fertility Society (ASRM) classification system. He elaborates on the treatment approach, emphasizing hysteroscopic lysis of adhesions as the gold standard, and highlights the importance of barrier methods, hormonal regimens, and second-look hysteroscopy for preventing adhesion reformation. Additionally, Dr. Strug reviews primary prevention strategies, such as surgical technique considerations, barrier methods, and the potential role of hyaluronic acid and estrogen. He also explores emerging therapies like platelet-rich plasma (PRP) and stem cells for promoting endometrial regeneration.
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Learning Objectives:
1. Discuss the etiology of and risk factors predisposing to Asherman’s Syndrome.
2. Apply surgical approaches for optimal management of intrauterine adhesions.
3. Utilize evidence-based approaches for primary and secondary prevention of intrauterine adhesions.
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