Asherman

What is Asherman's Syndrome? – Patient Information Guide

What is Asherman's Syndrome?

Asherman's syndrome is a condition characterized by the formation of adhesions within the uterus. These adhesions can narrow or completely close the uterine cavity.

Why Does It Occur?

• After curettage
• Postpartum procedures
• Intrauterine surgeries
• Infections

Symptoms

• Decreased or absent menstruation
• Infertility
• Recurrent miscarriages
• Pelvic pain

Why Is It Important?

Adhesions within the uterus can make embryo implantation difficult and prevent pregnancy.

How Is It Diagnosed?

• Hysteroscopy (most definitive diagnostic method)
• HSG (uterine X-ray)
• Ultrasound
• MRI (if needed)

Treatment

• Hysteroscopic adhesiolysis (removal of adhesions)
• Performed vaginally, without incision

After Surgery

• A balloon or IUD may be placed inside the uterus
• Estrogen therapy may be given
• Aims to prevent recurrence of adhesions

Effect on Pregnancy

After treatment, the chance of pregnancy may increase, but it depends on the degree of adhesions.

Clinical Fact

Asherman's syndrome can be corrected with early diagnosis and appropriate treatment, but treatment may be more difficult in advanced cases.

Conclusion

Asherman's syndrome is a condition characterized by intrauterine adhesions. With appropriate treatment, the intrauterine structure can be restored.