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Asherman's Syndrome

Asherman's Syndrome Surgery

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Overview – What is Asherman’s Syndrome?

Asherman's syndrome (AS), also known as Intrauterine Adhesions (IUA) or Intrauterine Synechiae, is an acquired uterine condition. It is characterized by the formation of scar tissue (adhesions) inside the uterus and/or the cervix. This syndrome most often develops after a uterine surgery.

In some cases, adhesions occur in a small portion of the uterus and in some the front and back walls of the uterus stick to one another. The extent of the adhesions defines whether the case is mild, moderate, or severe. The adhesions can be thin or thick, spotty in location, or confluent. They are usually not vascular, which is an important attribute that helps in treatment.


Few of the symptoms of Asherman’s Syndrome are mentioned below:

  • It is often characterized by scanty or absent periods (amenorrhea), though some may have normal periods.
  • Pain during periods, without any bleeding. This may indicate that one is menstruating, but the blood is unable to leave the uterus because the cervix is blocked by adhesions or scar tissue.
  • Infertility or Recurrent miscarriage.

Causes of Asherman’s Syndrome

Asherman syndrome is a rare condition which occurs when trauma to the endometrial lining triggers the normal wound-healing process, which may lead to fusion of damaged areas together. The most common causes for the condition are listed below:-

  • It occurs mostly in cases where a woman has had several dilatation and curettage (D & C) procedures. D and C is generally performed following an incomplete or missed miscarriage, retained placenta after delivery, or elective abortion. This cause accounts for 90% of cases.
  • A severe pelvic infection such as genital tuberculosis and schistosomiasis may also lead to Asherman syndrome.
  • Sometimes adhesions occur following pelvic surgeries such as Cesarean section, surgery to remove fibroids or polyps.


Hysteroscopy is the most reliable method for diagnosis where a doctor can have direct visualization of the uterus. Other methods are Sonohysterography (SHG) and Hysterosalpingogram (HSG). Asherman's Syndrome is usually undetectable by routine diagnostic procedures such as an ultrasound scan.


Asherman's Syndrome can be treated using a surgical procedure known an Operative Hysteroscopy or Hysteroscopic Adhesiolysis. It must be treated by a very experienced surgeon via hysteroscopy (sometimes assisted by laparoscopy).Few surgeons experienced in treating severe Asherman's Syndrome recommend the avoidance of energy sources inside the uterus and prefer to remove scars with scissors rather than using energy-generating instruments such as resectoscopes or lasers which could cause heat scarring or further damage.


  • The procedure is carried out under General Anesthesia. Hysteroscopy must be carried out using very fine instruments rather than standard-sized ones. Tiny pair of scissors, called microscissors is attached to the end of the hysteroscope and are used to remove adhesions.
  • After the procedure, antibiotics are given to prevent infection as well as estrogen tablets to improve the quality of the uterine lining.
  • A repeat hysteroscopy is performed at a later date to check that if the operation was successful and uterus is free from adhesions.It’s possible for adhesions to reoccur following the treatment. So doctors recommend waiting for at least a year before trying to conceive to ensure that it hasn’t occurred.


One is required to stay in hospital for 2-3 days post surgery, after which patient is discharged. 7-10 days of recuperation may be required.

Are you a Candidate?

You can be a candidate for Asherman’s syndrome if :

  • You have had previous uterine surgery and your periods have become irregular or stopped.
  • You are experiencing pain or cramping around the time of your period but with little or no blood.
  • You are experiencing recurrent miscarriages.
  • You are having difficulties in conceiving (unexplained infertility).

Cost for Asherman’s Syndrome Treatment

Sr No Name of Procedure Cost in India (USD)
1 Investigations 500
2 Hysteroscopic Adhesiolysis 2500 – 3000

Why Medicoexperts?

India is a preferred medical destination which attracts international tourists from all over the world. The available state of art technology ensures that the complex cases can be cracked with relative ease. Expert doctors and low costs for Asherman’s Syndrome Treatment in India ensure that the surgery is within your budget.

For more information and for getting free quote for Asherman’s Syndrome Surgery cost in India, please contact us at enquiry@medicoexperts.com. MedicoExperts has helped hundreds of patients from over 15 countries and has emerged as the renowned name for facilitating the best and affordable options for your Asherman’s Syndrome Treatment in India. We would be happy to assist you!

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