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Asherman’s Syndrome

Asherman’s syndrome is scarring inside of the uterus.

Fibrous bands (adhesions) form between the walls of the uterine cavity. The adhesions may form after scraping from a D&C, after an intrauterine infection, or after removal of an intrauterine fibroid. The scarring may block the openings to the fallopian tubes and cause problems with fertility. The scarring may block the opening to the cervix and decrease or stop menstrual flow.

Asherman’s syndrome may be diagnosed by ultrasound using a procedure called saline hysterosonography or by an x-ray of the uterus called a hysterosalpingogram (HSG).

The definitive diagnosis is made by hysteroscopy. Treatment is cutting of the adhesions during hysteroscopy. Sometimes laparoscopy is performed at the same time to determine the limits of the uterine cavity.