The Efficacy of a Silicone Plate for the Prevention of Re-Adhesions in Asherman Syndrome: A Case Study

Abstract

This study highlights the effectiveness of using silicone plates to manage intrauterine adhesions (IUAs) in an enlarged uterine cavity caused by multiple fibroids. A 42-year-old woman developed Asherman syndrome following fibroid resection surgery, and despite initial attempts to prevent recurrence with an intrauterine device (IUD), IUAs reappeared. After successful hysteroscopic adhesiolysis, a customized silicone plate was introduced, preventing further IUAs for 1 month. The patient was then deemed suitable for fertility treatment. This case underscores the importance of innovative approaches in complex Asherman syndrome, particularly when standard treatments fail. Silicone plates prove useful for addressing enlarged or deformed uterine cavities caused by fibroids, expanding existing strategies for managing post-hysteroscopic complications.