Asherman’s syndrome

Asherman’s syndrome (intrauterine adhesions or uterine synechiae) is the presence of scar tissue inside the uterus or cervix.

Causes of Asherman’s syndrome

Most cases occur following surgical interventions to remove uterine tissue performed in a pregnant or recently pregnant uterus (womb); namely, dilatation and curettage (D&C) after a miscarriage, termination of pregnancy or removal of retained placenta post-birth. However, it can develop in a non-pregnant uterus as a result of the surgical removal of fibroids (myomectomy).

At risk groups

Women who have had:

• a post-partum D&C
• repeated surgical procedures where uterine tissue is removed
• a history of pelvic infections.

Signs and symptoms

• Missed or reduced flow periods following the removal of uterine tissue
• Increased period pain following the removal of uterine tissue
• Infertility (difficulty conceiving a baby)

Diagnoses

• Medical history of D&C
• Saline infusion sonography
• Hysteroscopy

Treatment

• Hysteroscopy
• Hormonal therapies
• Antibiotics
• Adhesions barriers

Most women return to their normal menstrual flow and are able to conceive a baby following treatment.

What happens if it is not treated?

If no painful symptoms are present and you are not looking to conceive, Asherman’s Syndrome can remain untreated with no expected adverse effects to your health.

Where to get help

Talk to your GP if you have any concerns about abnormal or missing periods or difficulty conceiving following a D&C.

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