Asherman’s syndrome: essential facts

Written by: Mr Mahantesh Karoshi
Published: | Updated: 13/05/2021
Edited by: Emma McLeod

Asherman's syndrome is a condition where adhesions (scar tissue) form inside the uterus.

A diagram of the female reproductive system

The cause of Asherman’s syndrome

Asherman’s syndrome is usually the result of some form of trauma to the lining of the womb, such as:

 

Asherman’s syndrome and pregnancy

Women can still get pregnant even if they have Asherman’s syndrome. We have supportive measures to help them.

 

When to treat Asherman’s syndrome

Women with suspected or confirmed Asherman's syndrome who want to conceive but are having trouble falling pregnant may benefit from treatment.

 

If Asherman’s syndrome is causing subfertility (a delay in conceiving), then surgery is recommended.

 

What is the success rate?

Hysteroscopic treatment of severe Asherman's syndrome is generally effective for the restoration of a functional uterine cavity.

 

The overall pregnancy rate after treatment is 42 per cent and is around 62 per cent in women under 35 years old. The live birth rate after successful surgery is around 32 per cent.

 

It's important to be aware that pregnancies after such surgeries are at high risk for bleeding with abnormal placentation

 

Mr Mahanesh Karoshi is a leading London women’s health expert and consultant gynaecologist. Visit his profile to learn how he can help look after your gynaecological health.

By Mr Mahantesh Karoshi
Obstetrics & gynaecology

Mr Mahantesh Karoshi is a London-based women’s health expert and consultant gynaecologist, with a special interest in ovarian cysts, heavy menstrual bleeding, infertility, fibroids, and adenomyosis. He is currently one of the most highly-rated gynaecologists in London with a very good reputation amongst his patients and peers.

Mr Karoshi's work is recognised internationally, having volunteered in Ethiopia’s Gimbie Hospital, and later receiving the Bernhard Baron Travelling Fellowship from the Royal College of Obstetricians and Gynaecologists which led to his work in the University of Buenos Aires. Here he worked on the techniques needed to surgically manage morbidly adherent placental disorders - a serious condition that can occur in women with multiple caesarean sections.

He believes in an open doctor-patient relationship, being sure to include the patient and educating them so that they understand their condition better and they can be directly involved in their care and management at every stage. Aside from his clinical work, he is actively involved in research, which together with his experience, has given him the opportunity to publish the first stand-alone textbook on postpartum haemorrhage which was launched by HRH Princess Anne.

At the core of Mr Karoshi's practice is a high standard of professionalism where patients are involved in their treatment and where the latest techniques and advancements are used to provide an extremely high level of care.

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