Asherman syndrome (intrauterine adhesions)

Asherman syndrome (intrauterine adhesions)

Asherman syndrome is a condition of the uterus, wherein, certain scar tissues or adhesions are found in the uterus, and thus, the condition is also known as intrauterine adhesions. It is an acquired condition, and the scars or adhesions could be either in the uterus or in the cervix – which is the opening to the uterus. The scarring of the uterus results in the reduction of its size.

Asherman syndrome is a rare condition and can often remain undetected or diagnosed. In most cases, the condition has been evidenced in women undergoing a gynaecology procedure known as dilation and curettage (D&C) following complications related to pregnancy.

Symptoms of Asherman Syndrome

  • Heavy periods
  • No periods
  • Excessive menstrual cramps
  • Infertility
  • Inability to hold a pregnancy

Causes of Asherman Syndrome

  • Scar tissue from uterine surgery
  • Scar tissue from a C-section
  • Endometriosis
  • Infections
  • Radiation therapy

Treatment of Asherman syndrome seeks to restore the regular shape and size of the uterus. Doctors can either perform a hysteroscopy to remove the adhesions with either a laser or other surgical instruments. Following the procedure, hormonal therapy might be prescribed to allow the uterine lining to grow back appropriately and for periods to resume regularly.

Prevention of Asherman Syndrome

  • Pre-conception check
  • Keeping weight in check
  • Regulated birth control use