28 Nov Asherman’s Syndrome Causes, Symptoms & Treatment
Asherman’s syndrome or commonly known as intrauterine adhesions is a uterine condition that is established and illustrated by creation of adhesions (bands of scar tissue) in the uterus of a woman. In this problem the front and the back of the uterus tend to stick to each other. The extent of adhesion categorizes the problem as mild or severe. There might be cases where adhesions are thin or thick.
The problem can arise because of an aggressive procedure called D&C that is performed after a miscarriage, birth or for uterus evaluation. It can also occur after an intrauterine surgery to remove fibroid, large polyps or septum. The chances are very rare when this syndrome is developed by infections or radium insertion into the uterus to treat cancer.
Symptoms
- Scanty or absent periods
- No periods (absence of periods) but women feel the pain at the same time of the month when their periods are expected to arrive
- Recurrent miscarriage
- Infertility
These symptoms are more likely to indicate Asherman’s syndrome if they occur suddenly after a D & C or other uterine surgery.
Causes
The main cause of Asherman’s Syndrome is when there is damage to the endometrial lining. This causes the damaged area to fuse together. In many cases this syndrome develops after a D&C procedure. The risk of Asherman’s Syndrome increases with the number of D&Cs performed.
Tests
One of the most common is a pelvic exam. If you are suspected with this syndrome then your gynecologist may recommend an x-ray of the uterine cavity (hysterosalpingogram) or a hysteroscopy. This allows the doctor to look for any discrepancy in your uterus. These tests may reveal scar tissue partially or completely filling the uterine cavity.
Treatment
An expert surgeon must treat Asherman’s Syndrome if it is causing infertility or amenorrhea. The treatment is done by hysteroscopy. After the removal of scar tissue, the uterine cavity must be kept open while it heals to prevent recurrence of the adhesion. Approximately 70-80% of women who are infertile because of Asherman’s syndrome will have a successful pregnancy after treatment.
If you have any questions about Asherman’s syndrome or an incompetent cervix then you can schedule an appointment with Triveni Obs and Gynae clinic/Dr Manavita Mahajan at Galleria DLF phase 4, Gurgaon. We have solution to all your Gynae related problems.
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