Asherman's Syndrome

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Asherman's Syndrome occurs when adhesionsAn abnormal connection between two surfaces of the body. (scar tissueA type of connective tissue that forms after a wound heals.) form on the inside of the uterusThe womb, where embryo implantation occurs and the growing foetus is nourished.. Although it can be caused by a severe pelvicRelating to the pelvis. infectionInvasion by organisms that may be harmful, for example bacteria or parasites., Asherman's Syndrome usually develops following surgery to the uterus, typically a D&C (dilation and curettage). This procedure is performed to clear the uterus after a miscarriageThe spontaneous loss of pregnancy. or termination or to remove a retained placentaThe organ that nourishes the embryo during pregnancy and also eliminates waste. following childbirth.

The symptoms of Asherman's Syndrome will depend on the severity of the scarring but range from light or non-existent periods (amenorrhea), to repeated miscarriages and infertility.

The condition is undetectable by routine diagnostic tests, such as ultrasound scanning, and as a result women often go months or even years before getting a correct diagnosisThe process of determining which condition a patient may have.. Treatment involves surgery to remove the adhesions and this should be performed by a very experienced surgeon. The surgery will usually be performed with a hysteroscopyExamination of the inside of the uterus by endoscopy, using an instrument called a hysteroscope inserted through the vagina and cervix., where small instruments and a camera are inserted into the uterus through the cervixAny neck-like structure; most commonly refers to the neck of the uterus.. totalhealth Consultant Gynaecologist, Mr Adrian Lower, has prepared a series of videos to explain to women how surgery is used to treat Asherman's Syndrome.