Asherman
- Home
- /
- Asherman
Asherman
Asherman’s Syndrome, also known as intrauterine adhesions (IUA), is a rare but serious gynecological condition in which scar tissue forms inside the uterus, leading to the partial or complete obliteration of the uterine cavity. These adhesions can interfere with normal menstrual flow, fertility, and the ability to maintain a pregnancy.
It often develops as a result of trauma to the uterine lining, usually following surgery or infection.
Causes of Asherman’s Syndrome
Dilation and Curettage (D&C) – Especially after miscarriage or delivery
Uterine surgery – Such as myomectomy or cesarean section
Tuberculosis or schistosomiasis – Rare causes, mostly in developing countries
Infection – Endometritis or pelvic inflammatory disease
Radiation therapy – In very rare cases
Symptoms of Asherman’s Syndrome
Light or absent menstrual periods (hypomenorrhea or amenorrhea)
Painful periods without bleeding (trapped blood due to blockage)
Recurrent miscarriages
Infertility or failure to conceive
Pelvic pain or discomfort
Diagnosis
Hysteroscopy – Gold standard for direct visualization and confirmation
Hysterosalpingography (HSG) – X-ray to detect irregular uterine cavity
Sonohysterography (Saline Infusion Sonogram) – Ultrasound with saline for better cavity view
MRI – Occasionally used for complex cases
Treatment of Asherman’s Syndrome
Minimally invasive procedure performed under anesthesia
Scar tissue is gently cut using a hysteroscope
Preferred and most effective treatment option
May require multiple sessions depending on severity
Estrogen therapy is often given after surgery to promote healing of the endometrium
Prevents recurrence of adhesions
Prognosis and Fertility Outcomes
Women with mild to moderate Asherman’s Syndrome often regain normal menstruation and fertility
In severe cases, outcomes may depend on the extent of damage to the endometrial lining
Early diagnosis and skilled surgical treatment offer the best chance for recovery
Why Choose Dr. Kalpana Tiwari for Asherman’s Syndrome?
Dr. Kalpana Tiwari is a recognized expert in minimally invasive gynecology and fertility-restoring procedures. With over 15 years of experience, she offers:
Advanced hysteroscopic expertise for precise adhesiolysis
A patient-focused approach with personalized recovery plans
Successful track record in fertility restoration after Asherman’s
Compassionate guidance and continuous follow-up care
