Asherman’s Syndrome

Asherman’s Syndrome is an acquired uterine condition, characterised by scar tissue inside the uterus and/or cervix. Often the scar tissue can cause the walls of the uterus to stick to one another.

Causes of Asherman’s Syndrome

Asherman’s Syndrome occurs when trauma to the endometrial lining triggers a wound-healing process, causing damaged areas to fuse. This can often occur after a dilation and curettage (a procedure used to remove tissue from the uterus for diagnostic or treatment purposes of uterine conditions).

Signs & Symptoms of Asherman’s Syndrome

  • Obstructed menstrual flow. Periods can become scanty or absent.
  • Recurrent miscarriages
  • Infertility

Diagnosis & Treatment of Asherman’s Syndrome

Direct visualisation of the uterus through a hysteroscopy (endoscopic surgery) is the most reliable method for diagnosis and treatment. Asherman’s Syndrome should be treated by a well-experienced hysteroscopic surgeon. As adhesions tend to reform, there are different methods to prevent re-scarring after surgery. Estrogen supplementation can be used to stimulate the uterine healing and a balloon can be inserted to prevent apposition of the walls during the healing phase after surgery.