Learn more about Hysteroscopic Surgeries for Uterine Septum/Hysteroscopic Septal Resection at Rejoice Hospital

Hysteroscopic adhesiolysis for Asherman’s syndrome

This condition refers to the presence of fibrosis and adhesions inside the cervical canal or the uterine cavity. Although relatively rare, Asherman's syndrome has increasingly been diagnosed as a result of the increasing use of the hysteroscope.

Intrauterine synechiae or adhesions are caused by trauma to the endometrium. This can result from repeated uterine cavity surgery e.g. dilatation and curettage (D&C), postpartum haemorrhage procedures and infection.

Symptoms associated with Asherman's syndrome:

• can be completely asymptomatic
• menstrual disturbances – mostly amenorrhea (no periods) but also hypomenorrhoea (less than normal bleeding during periods)
• cyclic abdominal pain
• subfertility
• ectopic pregnancy
• spontaneous miscarriage
• premature delivery
• abnormal placental implantation

Hysteroscopic adhesiolysis is an established treatment for intrauterine adhesion and is done under general anaesthesia. It takes almost 15 to 60 minutes to complete the surgery and sometimes it needs a repeat surgery to completely restore the normal uterine cavity. In certain cases we put a temporary physical barrier in the uterine cavity to prevent repeat formation of adhesion.