Donor Tissue Counseling
Asherman's Syndrome & Fertility
Asherman’s syndrome involves scar tissue or adhesions within the uterine cavity. This page explains how uterine scarring may affect menstruation, implantation, fertility, and pregnancy and how it may be diagnosed and treated.
Summary:
- Asherman’s syndrome involves scar tissue or adhesions within the uterine cavity.
- It can develop after uterine procedures, pregnancy-related complications, infection, or other uterine injury.
- Intrauterine scarring may affect menstrual flow, implantation, fertility, or pregnancy depending on its extent and location.
- Evaluation may include saline sonography, hysteroscopy, ultrasound, or other uterine imaging.
- Treatment often involves hysteroscopic removal of adhesions when clinically appropriate.
What Is Asherman’s Syndrome?
Asherman’s syndrome refers to clinically significant scar tissue or adhesions inside the uterine cavity. These endometrial adhesions may develop after uterine procedures, infection, or other injury to the endometrium and can sometimes cause lighter periods or amenorrhea.
Asherman’s Syndrome & Fertility
When adhesions significantly alter the uterine cavity or endometrium, they may interfere with implantation or pregnancy. Reproductive impact varies according to the location and extent of the scarring.
How Asherman’s Syndrome Is Evaluated
Evaluation may include saline sonography or hysteroscopy to assess the uterine cavity. Hysteroscopy can also allow adhesions to be treated when intervention is appropriate.
Common Asherman’s Syndrome Questions
Can Asherman’s syndrome affect fertility?
Yes. Significant intrauterine adhesions can alter the uterine cavity and may interfere with menstruation, implantation, or pregnancy.
Can Asherman’s syndrome be treated?
Hysteroscopic surgery can often be used to divide intrauterine adhesions when treatment is appropriate.
Can pregnancy occur after treatment for Asherman’s syndrome?
Yes. Reproductive outcomes depend on the severity of the original scarring, restoration of the uterine cavity, endometrial health, and other fertility factors.
Understanding Asherman’s Syndrome in the Context of Your Fertility
Intrauterine scarring can affect people very differently, and an Asherman’s syndrome diagnosis does not by itself predict your ability to build a family. Understanding the extent of the adhesions and the health of the uterine cavity can help clarify the path forward. Spring Fertility can evaluate Asherman’s syndrome alongside the other factors that influence fertility and help you understand your treatment and family-building options.
Ready to Get Started?
Schedule a consultation with Spring Fertility to discuss your options.