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Asherman’s Syndrome, also referred to as intrauterine adhesions or uterine synechiae, is a syndrome that involves the development of scar tissue within the uterus. The adhesion results in the joining of the uterine walls, hence leading to less volume of the uterine cavity than usual.
Asherman Syndrome can affect menstrual periods, fertility, and pregnancy. Some women might suffer from having light or no periods at all, whereas some might encounter problems with conception and pregnancy complications. Early detection and proper treatment will go a long way in restoring the uterus.
Asherman's syndrome symptoms will differ according to the location and severity of the adhesion. It includes:
Very light or shortened menstrual periods
No menstrual periods
Painful periods, particularly when menstrual flow is reduced
Difficulties in conception
Recurrent miscarriages
Complications during pregnancy in some cases
Some women may have no obvious symptoms and may only be diagnosed during an infertility evaluation or investigation after a uterine procedure.
If you have any of the mentioned symptoms or difficulty conceiving, visit a fertility specialist in Gurgaon at Miracles Healthcare for diagnosis and proper treatment.
Asherman Syndrome most commonly develops when the inner lining of the uterus is injured and heals with scar tissue. Common causes include:
Dilatation and curettage (D&C), particularly after pregnancy loss or childbirth
Procedures performed after a retained placenta
Uterine surgery, including procedures for fibroids or polyps
Treatment of certain uterine infections
Less commonly, severe pelvic or uterine infections
The risk may be higher when a uterine procedure is performed after pregnancy or childbirth because the uterine lining may be more vulnerable to injury.
A fertility specialist may suspect Asherman’s Syndrome based on symptoms, medical history, previous uterine procedures, and fertility concerns.
Diagnostic tests may include:
Hysteroscopy: Hysteroscopy is considered one of the most useful methods for evaluating intrauterine adhesions. A thin camera is inserted through the cervix to directly examine the inside of the uterus. It can also allow the doctor to treat adhesions during the same procedure in appropriate cases.
Hysterosalpingography (HSG): An HSG uses X-rays and contrast dye to assess the uterine cavity and fallopian tubes. Irregularities in the uterine cavity may suggest the presence of adhesions.
Saline Infusion Sonography: During this ultrasound-based test, sterile saline is introduced into the uterus to help outline the uterine cavity and identify abnormalities.
Your doctor may recommend one or more tests depending on your symptoms, fertility history, and previous procedures.
Treatment for Asherman’s Syndrome depends on the severity and location of the adhesions, symptoms, and whether the woman is planning pregnancy. The main goal is to remove scar tissue safely and restore the normal uterine cavity
Common treatment methods are
Hysteroscopic Adhesiolysis: A minimally invasive procedure in which a thin camera is used to view the uterus and carefully remove or separate scar tissue. This helps restore the shape and space of the uterine cavity.
Prevention of Recurrent Adhesions: After treatment, your doctor may recommend measures such as a temporary uterine balloon or device, hormonal therapy, or other strategies to reduce the risk of adhesions forming again.
Follow-up Hysteroscopy: A follow-up examination may be advised to assess healing and check whether any adhesions have returned.
Fertility and Pregnancy Care: Women planning to conceive may need personalized fertility guidance and closer monitoring during pregnancy after treatment.
Early diagnosis and appropriate treatment can help restore the uterine cavity and support better reproductive outcomes.
Factors that may increase the likelihood of developing intrauterine adhesions include:
Previous D&C or uterine instrumentation
Multiple uterine procedures
Procedures performed following miscarriage or childbirth
Previous uterine surgery
Retained placental tissue requiring uterine treatment
Certain uterine or pelvic infections
Having a risk factor does not mean that a woman will definitely develop Asherman’s Syndrome.
Not every case of Asherman’s Syndrome can be prevented. However, careful management of uterine procedures may help reduce the risk.
Depending on the clinical situation, prevention may include:
Avoiding unnecessary uterine procedures when suitable alternatives are available
Using appropriate techniques during D&C and other uterine procedures
Seeking timely treatment for complications following childbirth or miscarriage
Discussing less invasive treatment options with your gynaecologist when appropriate
Attending recommended follow-up ivf appointments after uterine procedures
If you develop unusually light or absent periods after a uterine procedure, or have difficulty conceiving afterward, consult an infertility specialist for evaluation.
Consult a fertility specialist if you experience:
Periods becoming very light or stopping after a uterine procedure
Persistent menstrual changes after miscarriage or childbirth
Difficulty conceiving
Recurrent miscarriage
Miracles Healthcare is a trusted fertility clinic in Gurgaon, providing specialized care since 2014. We give you complete treatment and diagnosis of Asherman's syndrome, infertility, issues regarding periods, and many other reproductive system problems.
With our own IVF laboratory along with our specialists in fertility, embryologists, gynaecologists, and nurses, we give you coordinated and patient-centered treatment under one roof. Women with infertility issues, changes in period flow after surgery in the uterus, miscarriage issues, and anything related to intrauterine adhesions can be offered customized treatment and diagnosis.
Are you searching for the best hospital for Asherman’s syndrome treatment in Gurgaon? Contact us at Miracles Healthcare for a consultation.
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Yes, conception is possible with this disease after treatment. Likelihood depends on how severe the adhesions are and the health of the uterus.
Women who have undergone D&C, uterine surgery, or procedures following miscarriage or childbirth may have a higher risk of developing Asherman’s Syndrome.
Yes, intrauterine adhesions may affect the ability to conceive and make miscarriage more likely.
Asherman’s Syndrome can often be successfully treated by removing intrauterine adhesions, usually through hysteroscopic adhesiolysis. Follow-up care may help prevent the adhesions from returning.
Asherman’s Syndrome can be evaluated using hysteroscopy, HSG, or saline infusion sonography. Hysteroscopy allows visualizing the inside of the uterus.
Consequences of this untreated disease include light or absent menstruation, inability to conceive, recurrent miscarriages, and certain pregnancy complications.