How is Asherman’s syndrome treated?

How is Asherman’s syndrome treated?

There are several ways to treat Asherman’s syndrome. During a conversation with your healthcare provider, it’s good to discuss how this condition makes you feel — including any pain you may experience — as well as your goals for future fertility. In some cases where a woman isn’t experiencing symptoms, a treatment option can actually be no treatment. However, if your plan includes future pregnancies, there are treatment options that can remove the scar tissue. Treatment can also help if you’re experiencing cramps or pelvic pain.

The main goal of treatment is to remove the scar tissue and restore your uterus to its original size and shape. Treatment for Asherman’s syndrome can help:

• Relieve pain.
• Restore your normal menstrual cycle (periods).
• Allow for the possibility of pregnancy if you’re pre-menopausal.

Your healthcare provider may use hysteroscopy to remove the adhesions in your uterus. During a hysteroscopy, your provider uses a thin tool called a hysteroscope to look inside your uterus. This tool can also be used to remove scar tissue. The hysteroscope is inserted into your vagina, through your cervix and into your uterus. Scar tissue is very carefully removed during this procedure. A possible risk of this procedure is damaging healthy tissue inside your uterus while removing the scar tissue.

Hormonal treatments (estrogen) may be paired with a small intrauterine catheter left inside your uterus for a few days after the hysteroscopy. This will reduce the risk of recurring scar tissue formation after the procedure. In fact, estrogen promotes healing of your endometrium (inner lining of the cavity) and the catheter provides a physical barrier between your anterior and posterior uterine walls, so that they don’t adhere to each other in the few days following the procedure for scar tissue removal. When an intrauterine catheter is inserted, you’ll be given antibiotics to prevent possible infections.