Asherman’s Syndrome myths… busted

Myth: Asherman’s Syndrome is caused by aggressive scraping of the womb following a miscarriage.

Fact: There is no scientific basis to substantiate this myth, though there is a link between an incomplete procedure following a miscarriage and the formation of scar tissue. We recommend an ultrasound be performed to determine whether the procedure was successful.

Myth: I’ll only need one surgery to remove scar tissue.

Fact: The number of surgeries required will vary from patient to patient and depends on the location and extent of the scarring. Over half of women only need one surgery, while others require as many as six, and we recommend an ultrasound to determine the cavity’s recovery.

Myth: Once my scars are removed I can fall pregnant straightaway.

Fact: We recommend that you wait for one normal menstrual cycle after you have stopped taking hormonal supplements and have had confirmation from your doctor that the cavity is back to normal. We also recommend trying for at least six months before doing any further testing.

Myth: After treatment I’ll only be able to deliver a baby through a Cesarean Section

Fact: There is no general rule to this myth and it will depend on whether the placenta has invaded the uterine wall or not.  Only in the presence of suspected abnormal placentation do we recommend a planned Cesarean Section.

Myth: Asherman’s Syndrome is a life-long condition

Fact: While we can remove the scarring within the uterus, unfortunately a scarred uterus remains a scarred uterus. Treatment can improve the anatomy to allow a pregnancy to occur, however changes which involve the deeper layers of the uterus are likely to remain to a certain extent.

Myth: Asherman’s Syndrome should always be treated

Fact: If you do not have painful symptoms and are certain that you don’t want to have any more children, then there is no need to treat Asherman’s syndrome. No harm will come from the presence of the scar tissue itself, though you may have reduced or no periods until you reach menopause.

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