Asherman Syndrome
Asherman Syndrome
Asherman Syndrome is a condition characterized by intrauterine adhesions or scar tissue formation inside the uterus, often leading to menstrual irregularities, infertility, or recurrent pregnancy loss. Treatment focuses on restoring the uterine cavity and improving reproductive outcomes.
Diagnosis
- Detailed menstrual and reproductive history
- Transvaginal ultrasound
- Hysterosalpingography (HSG)
- Diagnostic hysteroscopy (gold standard)
Treatment Approach
Hysteroscopic Adhesiolysis
Minimally invasive procedure to remove intrauterine adhesions
Performed under direct visualization for precision and safety
Aims to restore normal uterine anatomy
Post-Surgical Management
Estrogen therapy to promote endometrial healing
Placement of a temporary intrauterine device or balloon (if required)
Antibiotics to prevent infection
Follow-Up Care
- Repeat hysteroscopy or ultrasound to assess cavity healing
- Monitoring menstrual pattern improvement
- Counseling regarding fertility planning
Fertility Management
- Natural conception or assisted reproductive techniques as needed
- IVF or ICSI may be advised in selected cases
- Close monitoring during early pregnancy
Outcomes
- Improved menstrual flow
- Increased chances of conception
- Reduced risk of miscarriage
Risks & Complications
- Recurrence of adhesions
- Infection or bleeding (rare)
- Need for repeat procedure in severe cases
With timely diagnosis and expert hysteroscopic treatment, Asherman Syndrome can be effectively managed, restoring uterine health and improving fertility and pregnancy outcomes.
