Asherman
Plain-English guide for patients and families.
Asherman syndrome is intrauterine synechiae often after postpartum curettage, miscarriage management, or infection. Diagnosis is by hysteroscopy (gold standard) or saline sonography. Treatment is operative hysteroscopy with adhesion lysis; estrogen and devices may reduce re-scarring.
Prognosis
Depends on severity. Mild cases may conceive after repair; severe disease may need surrogacy discussion.
AI Information
EducationalAsherman's syndrome (intrauterine adhesions/synechiae) occurs when scar tissue forms inside the uterine cavity, typically after uterine instrumentation. It can cause absent or very light periods, infertility, and recurrent pregnancy loss. Hysteroscopic adhesiolysis by an experienced surgeon can restore the cavity in many cases, with subsequent pregnancy rates depending on severity.
Key Points
- Most common cause is curettage (D&C) after pregnancy — postpartum curettage carries the highest risk.
- Symptoms range from none to amenorrhoea, hypomenorrhoea, cyclic pain, infertility, and recurrent miscarriage.
- Hysteroscopy is both diagnostic and therapeutic — adhesions can be divided under direct vision.
- Post-operative measures to prevent re-formation include intrauterine balloons, IUDs, estrogen therapy, and barrier gels.
- Severe cases with complete cavity obliteration have poorer prognosis and may require surrogacy.
Who Should Know This?
Women with lighter or absent periods after uterine surgery (D&C, myomectomy, C-section), those with infertility and a history of uterine instrumentation, and women with recurrent pregnancy loss.
Clinical Context in Pakistan
Hysteroscopic assessment and adhesiolysis for Asherman's syndrome is available at IVF Experts Lahore. Dr. Adnan Jabbar evaluates cavity integrity before IVF and coordinates surgical repair when needed to optimise implantation potential.
Important Disclaimer
This AI-generated summary is for educational purposes only and should not replace professional medical advice. Always consult with Dr. Adnan Jabbar or your fertility specialist for personalised clinical guidance tailored to your specific situation.
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