Causes of Asherman’s syndrome
Most cases occur due to a procedure called dilation and curettage. Dilation and curettage are done for various reasons, such as an elective abortion or incomplete miscarriage. Other reasons for Asherman’s syndrome to occur include radiation treatment, cesarean section, or removal of a polyp or fibroid. Recurrent pelvic inflammatory disease can also lead to Asherman’s syndrome. Before undergoing any procedure, ask the healthcare provider about possible consequences or complications.
A healthcare specialist will take a detailed medical history and physical exam. The doctor will then order some tests, such as blood tests and ultrasounds. Hysteroscopy is also done and this procedure is used for both diagnosis and treatment. Some doctors may also do a hysterosalpingogram to better understand the internal structures.
Achieving a live pregnancy with Asherman’s syndrome is not easy. One may get pregnant while having the condition, but the fetus’ life may be at risk. The chances of miscarriages or stillbirths are high due to insufficient space for the baby to grow inside the uterus. If pregnant, a woman may be at risk of developing other conditions such as placenta previa or ectopic pregnancy. Close monitoring of the pregnancy is crucial in this situation.
Getting rid of the adhesions
The adhesions or scar tissue can be removed surgically. A doctor will perform a hysteroscopy to remove the adhesions. After the procedure, the doctor will prescribe antibiotics and estrogen therapy to the patient. In some cases, the doctor may repeat the hysteroscopy procedure. Doctors usually recommend waiting a year before trying to conceive.
Struggling with Asherman’s
Asherman’s syndrome can be managed with treatment. Getting pregnant is also possible but achieving a live pregnancy can be tricky at times. After treatment, there are still some chances of getting pregnant. In some special cases, couples may need to turn to other options, such as surrogacy or adoption.
Getting pregnant with Asherman’s syndrome is possible, but there are associated risks, especially to fetal development. A year after treatment, one can try conceiving with more positive hopes. During pregnancy, the doctor will closely monitor and check the mother and fetus to avoid complications.