Asherman Syndrome is an atypical condition that occurs due to the development of uterine adhesions that are classically the outcome of scars that form subsequent to uterine surgery.

Asherman Syndrome Causes:

• In majority of the cases, it is observed in women that have undergone a number of D&C or dilatation and curettage procedures.
• An acute pelvic infection that has no relation to the surgery might also lead to Asherman syndrome.
• Intrauterine adhesions might also develop subsequent to having being infected with tuberculosis or schistosomiasis. Such infections are an atypical occurrence in the U.S., and uterine complications like Asherman’s syndrome linked to such infections have even lesser occurrence.

Asherman Syndrome Symptoms:

• Intrauterine adhesions might lead to absent menstrual periods or amenorrhea, recurrent miscarriages and sterility.
• However, these signs might be linked to an array of other conditions. These are most probably indicators of the presence of Asherman syndrome when they abruptly occur following a D&C or other kinds of surgery performed on the uterus.

Diagnosis & Tests:

A pelvic examination is generally performed.

Tests might comprise of:

• Transvaginal ultrasound examination – An examination of a woman’s reproductive organs with the assistance of a small probe that is partly placed into the vagina.
• Hysteroscopy.
• Blood analysis for detecting tuberculosis or schistosomiasis.
• Infertility assessment.

Asherman Syndrome Treatment:

• Treatment comprises the surgical excision of the adhesions or scar tissue. This is generally conducted employing hysteroscopy wherein small-sized instruments are used and a camera is introduced via the cervix into the uterus.
• Following scar tissue removal, the uterine cavity requires to be left open for facilitating the healing process to avert relapse of adhesions. The health care provider might insert a small balloon within the uterus to be left for several days and an estrogen replacement therapy would be prescribed till the time the healing process of the uterine lining is complete.
• A course of antibiotics might also be prescribed in case of presence of any infection.

Prognosis (Chances of recovery):

In majority of the women, Asherman’s syndrome could be effectually treated with surgical intervention, though at times, merely one procedure might not be enough. Hence, more than one procedure might become requisite. Roughly, seventy to eighty percent of women facing infertility due to Asherman’s syndrome would be able to conceive following treatment.

Asherman Syndrome Complications:

• Complications arising due to hysteroscopic surgery are rather infrequent and comprise of bleeding, perforated uterus and inflammation in the pelvic region.
• In certain situations, treating Asherman syndrome fails to restore fertility.

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