Asherman syndrome is an acquired disease that occurs after a trauma in the uterus. According to the data of the International Asherman Association, 90% of Asherman's diseases occur after dilatation and curettage (D&C). In severe cases, the adhesion may cover the entire front and back of the uterus. Adhesions can be intermittent or whole.

Asherman's syndrome, that is, intrauterine adhesions, can develop after cesarean section, fibroids and polyp surgeries.

What are the symptoms of Asherman syndrome?

If your menstrual periods are irregular or if you do not have periods at all, you may have Asherman's syndrome, but since these symptoms are seen in many gynecological diseases, it is important to see your doctor as soon as possible. Asherman Syndrome can cause recurrent miscarriage and infertility problems.

Asherman syndrome does not make conception impossible, but it can pose serious risks to the fetus, resulting in distressing cases such as miscarriage and stillbirth.

If you have Asherman Syndrome, your doctor will be much more careful because of a risky pregnancy. Because Asherman's syndrome increases the risk of placenta previa, placenta increta, excessive bleeding and threatens the health of both the mother and the baby.

If Asherman's syndrome is present in pre-pregnancy controls, surgery is recommended to avoid these risks. You can become pregnant one year after surgery.

If Asherman's syndrome is suspected, a blood sample is first taken to rule out other possibilities. With ultrasound, the thickness of the uterus and the follicles are examined.

For diagnosis, your doctor may recommend you an HSG (hysterosalpingogram). HSG is the X-ray of the uterus by injecting a special dye into the uterus.

The best method for the diagnosis of Asherman syndrome is hysteroscopy. With the hysteroscope, it is inserted from the cervix into the uterus and the uterus can be examined clearly.

Asherman syndrome is treated with hysteroscopy. In the hysteroscopy procedure, small surgical instruments are placed on the tip of the hysteroscope and the adhesions are cleaned. Antibiotic treatment to prevent post-procedure infection and estrogen hormone supplementation to regulate the intrauterine wall are recommended.

Asherman's syndrome can recur even with treatment. That's why your doctor may suggest waiting a year for pregnancy. If you have Asherman's syndrome, it does not cause intense pain and if you do not have a pregnancy plan, treatment may not be needed.

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