Myths about Asherman's Syndrome: evidence-based medicine needed
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Uploaded by Ashermans on Mar 4, 2009
While some of these myths are mainly believed by laypersons(#2, #5), there persists unquestioned 'facts' about Asherman's syndrome which have either never been proven or which have even been refuted. Unfortunately, these doctrines may affect patient care and hinder the prevention of the condition. There are very few clinical trials on all aspects of Asherman's syndrome and no RCTs in the Cochrane database. In the past, 'expert opinion' was accepted where medical evidence was lacking. By today's high standards of scientifically rigorous research, proof is needed to uphold credibility
Clinicians need to question the validity of some of the theories left over from the past and carry out further research for absolute evidence. They must also question whether the indiscrimminate use of blind surgery with potentially serious adverse outcomes on fertility and future pregnancies is acceptable when safer, cheaper alternatives (such as misoprostol and hysteroscopy) are now available.
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