Asherman’s syndrome affects the reproductive function. Because of the synechiae the uterine cavity is obliterated and the patency of the fallopian tubes is impaired. Such complication may result in difficulty with conceiving or absolute infertility. Thus it’s very important to be correctly diagnosed. It can be achieved only under the guidance of professionals and proper medical tests.
The pathology may be defined in several ways. So, after woman notices some main symptoms one of which is light periods or their absence, doctor takes special blood samples to see if menstruation problems are caused by Asherman’s or not. Additional blood test can show other factors such as hormone disorder. Receiving test results doctor can state it’s Asherman’s syndrome if a woman ovulates and still don’t have periods.
Following a simple in-office ultrasound investigation that is called hysterosalpingogram, doctor checks condition of uterus and fallopian tubes. After such ultrasound scan it can be seen if there are any problems with tubes and uterine cavity. Consequently, most doctors prefer to use hysteroscopy as it’s the best way to determine disease.
Conducting hysterosonography doctor uses thin viewing device which is inserted into the vagina to explore closer uterus and the cervix. Such technique is considered to be the golden standard in Asherman’s diagnostic. Also, some doctors may use saline hysterosonography, with the help of which the intrauterine adhesions can be seen very clear. Doctor performs ultrasound after salt water being injected into the uterus.
Doctors may also put on biopsy, X-rays and transvaginal ultrasound in order to choose correct treatment course.
When Asherman’s syndrome is confirmed, needed correct treatment is performed to prevent absolute infertility, miscarriages, pelvic pain, and dead pregnancy. Unfortunately infertility is one the most common side effects of Asherman’s syndrome. Synechiae can be removed but such surgery doesn’t guarantee possibility to get pregnant. Thus many specialists advise such patients to explore surrogacy in order to have DNA- related child. Nevertheless, if uterine synechiae is removed in time and needed treatment is conducted there are certain chances that in some time uterine will start again its normal function.