Asherman’s Syndrome is a uterine condition that is characterized by the formation of scar tissue in the uterus. In most cases, the back walls of the uterus stick together, and for some, adhesions occur in small portions of the uterus. Every case is unique, and the effects can range from mild to severe.
Some symptoms of this syndrome include scarce or absent periods, although normal periods are not unlikely. Changes in the menstrual cycle can occur, such as pain and cramping with little or no blood, endometriosis, unexplained infertility, or repeated miscarriage. Asherman’s Syndrome could also result from a D&C after miscarriage, postpartum hemorrhaging, retained postpartum placenta, fibroid removal, c-section, or a variety of other surgical treatments involving the uterus.
Asherman’s Syndrome occurs when there is trauma to the endometrial lining that stimulates regular healing. This syndrome is difficult to diagnose because the only reliable ways for detection are hysteroscopy (when a thin telescope is inserted through the cervix into the uterus, and used to inspect the uterine cavity), sonohysterography (when saline is inserted into the uterus during an ultrasound), and hysterosalpingogram (which searches for uterine malformations using dye inserted through the vagina and into the uterus where x-rays are taken using a steady beam).
In order to treat Asherman’s Syndrome, an experienced surgeon will conduct a hysteroscopy and try to avoid instruments like lasers, with a preference towards the use of instruments like scissors to remove the scar tissue. Some women will be prescribed estrogen supplementation to stimulate the healing process and the surgeon may place a stint or balloon into the uterus to prevent the walls from re-attaching to one another. Some doctors will schedule weekly visits with the patient to remove any recurring scarring or adhesions.
If you have any questions relating to Asherman’s Syndrome, contact your doctor or physician.