Uterine adhesions, also known as Asherman’s syndrome, is a condition where scar tissue develops in the uterus and sticks to itself. This can cause a variety of problems, including infertility, menstrual irregularities, and recurring miscarriages. The condition can occur due to a variety of causes, including uterine surgery, uterine infections, or trauma to the uterus.

Symptoms of Uterine Adhesions:

The symptoms of uterine adhesions can vary depending on the severity and location of the adhesions. Some women may experience no symptoms at all, while others may experience:

  • Infertility
  • Painful periods
  • Irregular period
  • Decreased menstrual flow
  • Recurring miscarriages
  • Pelvic pain or discomfort


Causes of Uterine Adhesions:

Uterine adhesions can develop due to a variety of causes, including:

  • Uterine surgery, such as dilation and curettage (D&C) or myomectomy
  • Infections of the uterus, such as endometritis
  • Trauma to the uterus, such as during childbirth
  • Radiation treatment to the pelvic area


Diagnosis of Uterine Adhesions:

If uterine adhesions are suspected, a gynecologist may perform a hysteroscopy to visualize the inside of the uterus. During a hysteroscopy, a small camera is inserted into the uterus through the vagina and cervix, allowing the doctor to examine the uterine lining and look for adhesions. Other imaging tests such as ultrasound or MRI may also be used to diagnose uterine adhesions.


Treatment of Uterine Adhesions:

Treatment for uterine adhesions depends on the severity of the adhesions and the extent of the damage to the uterus. In some cases, no treatment may be necessary, and the adhesions may resolve on their own. However, in more severe cases, treatment may include:

  • Hysteroscopic surgery: A surgical procedure where the adhesions are removed using a hysteroscope, a small camera inserted into the uterus.
  • Hormone therapy: This may be used to help promote the growth of new tissue in the uterus after surgery.
  • In some cases, a gestational carrier may be recommended to carry a pregnancy to term, as pregnancy may not be possible due to the severity of the adhesions.


Prevention of Uterine Adhesions:

Preventing uterine adhesions is not always possible, especially if the adhesions are caused by surgery or other medical procedures. However, taking steps to prevent infections of the uterus and avoiding unnecessary uterine surgery may help reduce the risk of developing uterine adhesions.

In conclusion, uterine adhesions can cause infertility and other reproductive problems, but with prompt diagnosis and appropriate treatment, women can go on to have healthy pregnancies. If you are experiencing symptoms of uterine adhesions or have concerns about your reproductive health, it’s important to speak with your doctor or a fertility specialist. AASHAKIRAN IVF is a leading fertility clinic in India that offers a range of diagnostic and treatment options for uterine adhesions and other reproductive health concerns.

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