Asherman’s syndrome involves scar tissue inside the uterus that can affect periods and fertility. It may develop after a D&C following miscarriage or childbirth, or other procedures involving the uterine cavity.

What are the symptoms?
Possible signs include:
• Lighter or absent periods
• Pelvic pain, especially around an expected period
• Difficulty conceiving or repeated miscarriages

Some people have no obvious symptoms. Light periods alone do not confirm the condition.

How can it affect fertility?
Adhesions may interfere with implantation and increase pregnancy risks. Their impact depends on the extent of scarring and damage to the uterine lining.

How is it diagnosed?
A saline sonohysterogram or HSG may identify suspected adhesions. Hysteroscopy allows a specialist to look directly inside the uterus and is the most accurate method of evaluation.

Can it be treated?
Adhesions can be removed through hysteroscopy. Follow-up is important because scarring may return. Treatment may improve menstrual function and fertility, but pregnancy is not guaranteed.

If your periods become much lighter or stop after a uterine procedure, discuss assessment with your gynecologist or fertility specialist.

Longevity Fertility Centre | Calgary & Edmonton