Diagnosis of Asherman Syndrome :_
However, scarring within the cervix is much more difficult to see with ultrasound, whatever method is used. It is important to
understand that a normal ultrasound does not rule out Asherman syndrome.
Hysteroscopy
Hysteroscopy is the only procedure that allows complete assessment of the uterus, and is more accurate in the diagnosis of
Asherman syndrome than ultrasound.
Hysteroscopy is a procedure where a small telescope is passed into the cervix and the uterus, allowing the gynaecologist to see all surfaces of the cervix and the
uterus and look for scar tissue.
We will ask about your medical history
Most women with Asherman syndrome have a history of abnormal bleeding after a miscarriage or birth and have undergone a
curette (D&C) or other procedure to remove tissue from the uterus.
In most cases, women are also aware of a reduced menstrual flow that persists over several cycles. Some women report feeling all the symptoms of approaching menstruation, but ‘nothing happens’.
Sonography
The scarring of Asherman syndrome is often not visible on regular ultrasound testing. A special test where fluid is used to outline the cavity of the uterus is more likely to detect the problem.
Hormonal therapies
The hormone estrogen stimulates the growth of the lining of the uterus, and it is commonly prescribed for women following
surgical treatment of scarring in Asherman syndrome.
Other medication
Antibiotics at the time of surgery are commonly used to help reduce the risk of infection.
Adhesion barriers
If the scar tissue is operated on, it may stick together again after the procedure. To reduce this risk, a barrier may be used to keep the walls of the cavity apart.
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