Asherman’s Syndrome – Symptoms, Diagnosis, Prevention & Treatment

Others recommend a weekly hysteroscopy after the surgery to cut away any newly formed adhesions. Until now, there is no study that confirms which method of treatment is most likely to have a successful outcome. A successful outcome of treatment would be one where the uterus/cervix remains scar-free and fertility is restored.

Fertility consequences

Asherman’s Syndrome can have a negative influence on the reproductive system, causing placenta accreta, infertility, recurrent miscarriage, intrauterine growth restriction, and others. The lack of menstrual periods is another concern. In some cases, it occurs due to hormonal abnormalities, but in most cases, it is caused by either complete destruction of the uterine lining or by obstruction of the cervix or lower portion of the uterus; therefore, menses are either retained in the uterus (leading to pelvic pain) or flow into the abdominal cavity leading to endometriosis.

Another condition that may occur due to Asherman’s Syndrome is uterine cancer, either before or after menopause. This is one of the reasons why a pelvic ultrasound should be conducted annually.

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