Asherman's Syndrome on Hysterosalpingogram

Asherman's syndrome is associated with multiple intrauterine synechiae (adhesions consisting of fibrous tissue or smooth muscle) with menstrual dysfunction and infertility. It is a sequelae of endomerial trauma (vigorous instrumentation during dilatation & curettage) usually during postpartum or postabortion period OR severe endometritis.

HSG (hysterosalpingogram) will typically demonstrate solitary, multiple filling defects, bands of tissue traversing endometrial cavity, non-distensability, irregularity of uterine cavity, partial or near obliteration of cavity.