At our fertility clinic, we’ve recently encountered a rising number of women with a condition called uterine adhesions, and their symptoms often follow a similar pattern. Many of them come in worried about reduced menstrual flow. some experience shorter periods, while others have stopped menstruating altogether. When we carry out an ultrasound, we often find a thin or poorly developed endometrium (the lining of the uterus), which isn’t in sync with where they are in their cycle.
As we dig deeper into their medical history, we commonly find that many of these women have had:
1. A past termination of pregnancy (especially unsafe or incomplete procedures),
2. Complications from a miscarriage,
3. Previous uterine surgeries like C-section, fibroid removal (myomectomy), or treatment for retained placenta.
All these procedures, especially when not done under safe and expert care, can lead to scarring inside the uterus, forming adhesions that interfere with the normal menstrual flow and even block the womb entirely.
<h3>The Classic Diagnosis and the Missteps Along the Way<h/3>
Many of these cases are first discovered during a hysterosalpingogram (HSG). An X-ray test used to check the uterus and fallopian tubes. While helpful, this test can be quite uncomfortable and sometimes misleading. Some women have undergone blind uterine dilatation (a procedure done without direct vision) in hopes of treating the adhesions. Unfortunately, this can worsen the condition, creating more scarring or even false passages in the uterus.
<h3>Asherman’s Syndrome: When Scarring Becomes Severe<h/3>
When uterine adhesions lead to amenorrhea (absence of menstruation) and infertility, it may point to Asherman’sSyndrome, a more advanced form of this condition. Depending on how severe the adhesions are, treatment can be challenging.But there is hope.
The Gold Standard Treatment: Hysteroscopy
The safest and most effective way to diagnose and treat uterine adhesions is through a procedure called hysteroscopy. This involves using a thin camera to look directly inside the uterus, allowing your doctor to see and treat the adhesions precisely without causing further damage. It reduces risks and offers the best chance of restoring a healthy uterine cavity, especially when done by a gynecologist with expertise in uterine endoscopic (endocavitatory) surgery. For women whose condition cannot be resolved through surgery, and who still desire to have children, surrogacy remains a compassionate and viable option. If you’ve noticed changes in your menstrual cycle or have been struggling with unexplained infertility, don’t ignore the signs. Uterine adhesions are treatable, especially when caught early and managed by experts. At our clinic, we’re committed to helping you find answers, healing, and hope.