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UTERINE HEALTH & FERTILITY CARE

Expert Treatment for Asherman's Syndrome and Uterine Adhesions

Scar tissue in the uterus doesn't have to end your pregnancy hopes. Advanced hysteroscopic treatment and comprehensive fertility care at StemRx IVF.

Book Your Consultation Learn About Treatment 
Advanced hysteroscopic surgery โ€ข Personalised treatment plans โ€ข Compassionate support
๐Ÿ‘ฅ

๐Ÿ’ฌ 

๐Ÿ”
Expert Diagnosis
Accurate assessment using hysteroscopy and imaging.
๐Ÿ”ฌ
Minimally Invasive Surgery
Hysteroscopic adhesiolysis with no external incisions.
โค๏ธ
Post-Operative Care
Structured healing protocols to reduce recurrence.
โฑ๏ธ
Fertility Support
Guidance from natural conception through to IVF.

What Is Asherman's Syndrome?

Asherman's syndrome is a condition where bands of scar tissue (intrauterine adhesions) form inside the uterus, causing the uterine walls to stick together. This can disrupt menstrual function, cause pain, and significantly impact fertility by reducing the surface area available for embryo implantation.

Also known as intrauterine adhesions (IUAs) or uterine synechiae.

๐Ÿ’—
โœ”

Acquired condition (not congenital)

โœ”

Often follows uterine procedures

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Treatable with proper care

Signs and Symptoms of Asherman's Syndrome

Symptoms can vary depending on the extent of adhesions. Some women may have no symptoms, while others experience significant changes.

๐Ÿฉธ
Reduced or Absent Bleeding
Hypomenorrhea or amenorrhea โ€” noticeably lighter periods or none at all.
๐Ÿ•
Infertility
Difficulty conceiving despite regular, unprotected attempts.
๐Ÿ’—
Recurrent Miscarriages
Repeated pregnancy loss, sometimes linked to adhesions.
โš ๏ธ
Pelvic Pain or Cramping
Ongoing or cyclical discomfort in the pelvic area.
๐Ÿ“ˆ
Abnormal Uterine Bleeding
Bleeding patterns that fall outside your normal cycle.
๐Ÿคฐ
Pregnancy Complications
Complications if conception does occur, needing close monitoring.
โš ๏ธ Some women with mild adhesions may have no symptoms. If you have a history of uterine procedures and fertility concerns, evaluation is important.

What Causes Asherman's Syndrome?

Asherman's syndrome is almost always acquired rather than congenital. It results from injury to the basalis layer of the endometrium, most commonly during uterine procedures.

โœ–
Dilation and Curettage (D&C)
Most common cause, especially after miscarriage, termination, or for retained products of conception. Risk is highest when performed immediately postpartum or in the presence of infection.
๐Ÿ”ช
Uterine Surgery
Myomectomy (fibroid removal), caesarean section if the endometrial cavity is entered, or other uterine surgeries.
๐Ÿงช
Endometrial Ablation
Intentional destruction of the uterine lining for heavy bleeding treatment.
๐Ÿ•
Uterine Infection
Pelvic inflammatory disease or uterine tuberculosis (particularly relevant in India).
โ„๏ธ
Postpartum Complications
Complicated deliveries, postpartum haemorrhage requiring uterine intervention.
๐Ÿ”„
Repeated Uterine Procedures
Multiple D&Cs or hysteroscopic procedures increase cumulative risk.

How Is Asherman's Syndrome Diagnosed?

๐Ÿ“‹
 
Detailed History
Discussion of menstrual changes, previous uterine procedures, pregnancies, surgeries, and fertility history.
โค๏ธ
 
Gynecological Exam
Pelvic examination to assess uterine size, tenderness, and rule out other conditions.
๐Ÿ”
 
Ultrasound & HSG
Transvaginal ultrasound and hysterosalpingography (HSG) can suggest adhesions but are not definitive.
โœ–
 
Hysteroscopy Gold Standard
Direct visualization of the uterine cavity using a thin camera. This is the definitive diagnostic method and allows simultaneous treatment.
๐Ÿ“ˆ
Severity Assessment
Adhesions classified as mild, moderate, or severe based on extent, density, and location (AFS classification system).

Treatment Options for Asherman's Syndrome

Treatment is tailored to the severity of adhesions and your fertility goals.

โœ”
Mild Adhesions
70โ€“85% pregnancy rate
Hysteroscopic adhesiolysis with excellent outcomes. Most women conceive naturally or with minimal assistance after treatment.
โœ–
Moderate Adhesions
50โ€“65% pregnancy rate
Hysteroscopic surgery with good outcomes. May require additional fertility support such as IUI or IVF.
โš ๏ธ
Severe Adhesions
25โ€“40% pregnancy rate
Complex hysteroscopic surgery, may require multiple procedures. IVF often recommended. Donor eggs or surrogacy may be discussed in extreme cases.

Success rates vary based on individual factors including age, adhesion severity, surgical expertise, and post-operative care. These are general estimates from published studies.

Hysteroscopic Adhesiolysis: The Gold Standard Treatment

The Procedure

Hysteroscopic adhesiolysis is a minimally invasive surgical procedure where adhesions are carefully divided and removed under direct vision using a hysteroscope (thin camera inserted through the cervix).

โœ”Performed under anaesthesia (general or regional)
โœ”No external incisions
โœ”Uses cold scissors or low-energy bipolar electrosurgery
โœ”Preserves healthy endometrium
โœ”Typically 30โ€“60 minutes
โœ”Day-care procedure (go home same day)

Most women resume normal activities within 2โ€“3 days. Mild cramping and spotting are normal for a few days post-procedure.

โœ–
70โ€“90%
Success rate for restoring normal uterine anatomy in mild-to-moderate cases
48.2%
Overall conception rate following hysteroscopic adhesiolysis (decreases with increasing severity)
3.5x
Improved live birth odds after surgical correction compared to untreated Asherman's

Post-Operative Care: Preventing Adhesion Recurrence

After hysteroscopic adhesiolysis, comprehensive post-operative care is essential to prevent adhesions from reforming and promote endometrial healing.

๐Ÿ’Š
Estrogen Therapy
Estradiol 4mg daily for 30 days with cyclic progestin to promote endometrial regeneration and healing.
๐ŸŽˆ
Intrauterine Balloon or Spacer
Placement of a Foley catheter, intrauterine balloon, or spacer to keep uterine walls separated during healing (typically 5โ€“7 days).
๐Ÿ’ง
Hyaluronic Acid Gel
Application of anti-adhesion barriers to reduce the risk of new adhesion formation.
๐Ÿ“…
Second-Look Hysteroscopy
Repeat hysteroscopy 2โ€“8 weeks post-surgery to assess healing and remove any new adhesions before they become dense.

Comprehensive post-operative care significantly improves pregnancy outcomes. Following your doctor's instructions carefully is crucial for success.

Pregnancy Outcomes After Treatment

With proper treatment and post-operative care, many women with Asherman's syndrome successfully conceive and carry pregnancies to term.

67.4%
Live birth rate in a large cohort study (500 women, 569 pregnancies within 3 years post-surgery)
32.8%
Live birth rate in a study of 64 patients treated with hysteroscopic adhesiolysis
32.1%
Live birth rate in severe Asherman's syndrome cases post-treatment
42.8%
Pregnancy rate in severe cases following hysteroscopic treatment

Women under 35 are more likely to conceive after treatment. Age, adhesion severity, and ovarian reserve all influence outcomes. Your fertility specialist will provide personalised guidance based on your situation.

โ†‘ 

Pregnancy After Asherman's Syndrome Treatment

While many women successfully conceive after treatment, pregnancies following Asherman's syndrome require careful monitoring due to increased risks.

โš ๏ธ
Miscarriage Risk
Miscarriage rates are approximately 33% post-treatment. Early prenatal care and monitoring are essential.
โš ๏ธ
Placental Concerns
Increased risk of placenta accreta, placenta previa, and abnormal placentation. Regular ultrasound monitoring recommended.
โš ๏ธ
Preterm Birth
Higher risk of preterm delivery. Close obstetric monitoring throughout pregnancy is crucial.
โš ๏ธ
Fetal Growth
Potential for intrauterine growth restriction (IUGR). Serial growth scans typically recommended.

Despite these risks, many women with treated Asherman's syndrome have successful, healthy pregnancies. Early and consistent prenatal care with a high-risk obstetrician is recommended.

Emerging and Advanced Treatment Options

For severe or recurrent cases, advanced therapies may be considered.

Emerging Therapy

๐Ÿงฌ
Mesenchymal Stem Cell Therapy

Recent case reports have documented successful pregnancies in women with severe Asherman's syndrome following treatment with umbilical cord-derived mesenchymal stem cells. This therapy aims to regenerate the damaged endometrium.

This is an investigational therapy and is not yet standard treatment. Discuss with your fertility specialist to understand availability, evidence, and suitability for your case.

Learn About Advanced Options

๐Ÿ“
IVF After Adhesiolysis

For women who don't conceive naturally after adhesiolysis, IVF can be highly effective. Ensuring the uterine cavity is optimally prepared before embryo transfer is critical for success.

โœ”Hysteroscopic evaluation before embryo transfer
โœ”Optimized endometrial thickness with hormone support
โœ”Single embryo transfer recommended
โœ”Careful monitoring throughout pregnancy

Explore IVF Options

When Should You Consult a Specialist?

Turning Hope Into Reality

โœ” Absent or significantly reduced periods after a D&C or uterine procedure
โœ” Infertility with history of uterine surgery
โœ” Recurrent miscarriages
โœ” Known intrauterine adhesions on imaging
โœ” Planning pregnancy after previous uterine surgery
โœ” Failed IVF cycles with suspected uterine factor
โœ” History of uterine tuberculosis or pelvic infection
โœ” Seeking a second opinion on Asherman's diagnosis or treatment

Don't wait if you suspect Asherman's syndrome. Early diagnosis and expert treatment significantly improve outcomes. Schedule a consultation with our fertility specialists.

Why Choose StemRx for Asherman's Syndrome Treatment

Turning Hope Into Reality

๐Ÿง‘โ€โš•๏ธ
Expert Hysteroscopic Surgeons
โœ–
Advanced Minimally Invasive Techniques
โค๏ธ
Comprehensive Post-Operative Care
๐Ÿ’ง
Integrated Fertility Support
๐Ÿ’—
Compassionate, Personalised Treatment
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Dr. Mahajan Hospital & ITC, Near Shell Petrol Pump,

R-831, Thane Belapur Road, Rabale, 

Navi Mumbai - 400708

To Book an Appointment : 91+9152215415

Email us : info@stemrx.in

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