Pregnancy in Complicated Infertile Case of Asherman Syndrome with Pelvic Inflammatory Disease and Multiple Leiomyoma

Background: The Asherman’s Syndrome (AS) is rare acquired pathological disease which characterized by presence of intrauterine adhesions (IUAs) that contributed to several health events lead to infertility. The PID frequently correlated to tubal infertility which results from inflammatory events, progressive fibrosis and subsequent scarring if delayed the diagnosis and antibiotics management. Also, the Uterine leiomyomas had significant linked to female infertility. Therefore, strict individualized infertility management for complicated cases is essential approach to achieve pregnancy outcome. Methods and Patient: This case study illustrate a complicated infertile Libyan women with Asherman syndrome, pelvic inflammatory disease and multiple leiomyoma which presented to private infertility management clinic on Tripoli, Libya, 2024. The case expressed several treatment modalities that ended by successful pregnancy achievement. Comments: Although, the Asherman syndrome, pelvic inflammatory disease and multiple leiomyoma had significant long term adverse impact on female infertility. But with introducing various treatment modalities, the pregnancy achievement became possible when managed strictly.