Asherman Syndrome

Asherman Syndrome

Asherman Syndrome, a condition characterized by the formation of scar tissue (adhesions) in the uterine cavity, can significantly impact a woman’s reproductive health. At Guru Hospital, we specialize in the diagnosis and treatment of this condition, providing advanced care and personalized treatment plans to help women regain their fertility and improve their quality of life. Let’s explore what Asherman Syndrome is, its causes, symptoms, diagnosis, and the treatment options available at Guru Hospital.

What is Asherman Syndrome?

Asherman Syndrome, also known as intrauterine adhesions (IUA) or uterine synechiae, occurs when scar tissue forms inside the uterus, leading to the partial or complete obliteration of the uterine cavity. This can interfere with the normal menstrual cycle and fertility, causing significant reproductive health issues.

Causes of Asherman Syndrome

Asherman Syndrome is often the result of trauma to the uterine lining (endometrium), which can occur due to various medical procedures or conditions, including:
  • Dilation and Curettage (D&C): Frequently performed after miscarriages, childbirth, or for the removal of uterine contents, this procedure is the most common cause.
  • Pelvic Surgery: Surgeries such as myomectomy (removal of fibroids) can lead to adhesions.
  • Infections: Severe uterine infections, particularly after surgery or miscarriage, can cause scarring.
  • Radiation Therapy: Used to treat pelvic cancers, radiation can damage the uterine lining and lead to adhesions.

Symptoms and Complications

The symptoms of Asherman Syndrome vary depending on the extent and location of the adhesions. Common symptoms include:
  • Reduced Menstrual Flow: Hypomenorrhea (light periods) or amenorrhea (absence of periods).
  • Infertility: Difficulty conceiving due to the compromised uterine environment.
  • Recurrent Miscarriages: The adhesions can prevent proper implantation and growth of the embryo.
  • Pelvic Pain: Discomfort or pain, particularly around the time of menstruation.

Diagnosis

Diagnosing Asherman Syndrome at Guru Hospital involves a combination of advanced imaging techniques and minimally invasive procedures:
  • Hysteroscopy: A gold standard for diagnosis, this involves inserting a small camera into the uterus to directly visualize the adhesions.
  • Ultrasound: Transvaginal ultrasound can help identify abnormalities in the uterine cavity.
  • Hysterosalpingography (HSG): An X-ray procedure that involves injecting contrast dye into the uterus to visualize its shape and detect adhesions.
  • MRI: Provides detailed imaging of the uterine structure and the extent of adhesions.

Treatment Options

Guru Hospital offers a range of treatment options for Asherman Syndrome, tailored to each patient’s needs:
  • Hysteroscopic Adhesiolysis: The primary treatment involves hysteroscopy, where specialized instruments are used to carefully cut and remove the adhesions, restoring the normal uterine cavity.
  • Postoperative Care: To prevent reformation of adhesions, patients may receive hormonal therapy, typically estrogen, to promote healing of the endometrium.
  • Follow-Up Hysteroscopy: A follow-up procedure may be scheduled to ensure the adhesions have been successfully removed and the uterine cavity remains clear.
  • Fertility Treatments: For patients facing infertility, Guru Hospital provides comprehensive fertility treatments, including assisted reproductive technologies (ART) such as in vitro fertilization (IVF).
At Guru Hospital, we combine cutting-edge technology with compassionate care to treat Asherman Syndrome effectively. Our multidisciplinary team of gynecologists, reproductive endocrinologists, and fertility specialists work together to provide individualized treatment plans. Our commitment to patient-centered care ensures that each patient receives the highest standard of care, from diagnosis through treatment and beyond.
With a track record of successful outcomes and a dedication to advancing women’s health, Guru Hospital is a leader in the treatment of Asherman Syndrome. If you suspect you have Asherman Syndrome or are experiencing related symptoms, we invite you to schedule a consultation with our expert team.
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