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Asherman's syndrome

Synechiae intrauterinae (syndroma Asherman) · Ashermanův syndrom

female only

What it is

Scar tissue glues the walls of the womb together after a D&C or an infection, so periods fade and pregnancies fail.

Symptoms & signs

  • Light or absent periods after a procedure
  • cyclical pain without bleeding
  • recurrent miscarriage
  • infertility

🚩 Get help if…

  • see a doctor soon Periods much lighter or gone after a D&C, miscarriage or birth
  • see a doctor soon Cyclic pelvic pain without bleeding
  • see a doctor soon Repeated miscarriages

Where it strikes

Medical treatment

  • Hysteroscopy to see and cut the adhesions
  • a balloon or IUD to keep the walls apart
  • oestrogen to regrow the lining
  • second-look hysteroscopy

Natural & lifestyle

  • Ask for medical rather than surgical management of miscarriage where possible
  • treat pelvic infection early

Emerging & experimental

  • Stem cells and platelet-rich plasma into the lining
  • hyaluronic acid gels
  • amnion grafts

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Castor-oil packs and abdominal massage — traditional; untested; they cannot divide scar tissue anecdotal / traditional
  • Herbal 'womb-cleansing' teas — untested anecdotal / traditional

ICD codes