What Are The Best Treatment Options For Asherman's Syndrome?

If you've been struggling with light or absent periods, difficulty getting pregnant, or even recurrent miscarriages, it's natural to feel confused or even frustrated. We've walked alongside many patients facing these exact issues—only to discover a lesser-known but very real condition called Asherman’s Syndrome.

Asherman’s Syndrome, also referred to as intrauterine adhesions, occurs when scar tissue forms inside the uterus, often as a result of trauma. This scar tissue can cause the uterine walls to stick together, which in turn interferes with menstruation and fertility. It’s not something that gets talked about often, but it can have a big impact on your reproductive health and your ability to carry a pregnancy. That’s why early diagnosis and appropriate treatment are so important—and why we’re here to guide you through it every step of the way.

Understanding Asherman’s Syndrome: Causes And Impact

Asherman’s Syndrome typically develops after a uterine surgery or procedure, especially dilation and curettage (D&C), which is commonly performed after a miscarriage, abortion, or retained placenta. Other contributing factors can include cesarean sections, removal of fibroids, or even untreated pelvic infections. What happens in these cases is that the inner lining of the uterus—the endometrium—becomes damaged and starts forming scar tissue.

The impact of Asherman’s Syndrome can vary. Some patients notice that their periods suddenly become lighter or stop altogether. Others may feel unexplained pelvic pain, while many find themselves struggling to conceive or experiencing repeated pregnancy loss. Because these symptoms can be easy to dismiss or misattribute, this condition often goes undiagnosed for far too long. But the sooner we identify it, the better your chances are for successful treatment and recovery.

Symptoms And How We Diagnose It

When someone comes to us with concerns about irregular periods, infertility, or miscarriages—especially after a surgical procedure—we begin by carefully listening and asking about their medical history. The most common signs of Asherman’s Syndrome include reduced or absent menstrual flow, pain during periods, and difficulty conceiving. These symptoms are red flags that something may be obstructing the natural function of the uterus.

To diagnose Asherman’s Syndrome, we often begin with a hysteroscopy, which allows us to look directly inside the uterus using a small camera. This is the most reliable method for detecting intrauterine adhesions. In some cases, we might also use sonohysterography, where we inject sterile saline into the uterus during an ultrasound to get a clearer view. Occasionally, we’ll recommend an MRI or transvaginal ultrasound if we need more detailed imaging. Regardless of the method, our goal is always to get the clearest possible understanding of what’s going on so we can move forward with the best treatment plan.

Treatment Options: Restoring Your Uterine Health

Once we confirm the presence of intrauterine adhesions, the next step is treatment. We focus on hysteroscopic adhesiolysis, a minimally invasive surgical procedure designed to carefully remove scar tissue from the uterus. We perform this procedure using a hysteroscope along with delicate surgical tools such as scissors, electrocautery, or a laser—depending on your specific case.

This is not a one-size-fits-all procedure. Every uterus is different, and we take great care to preserve healthy tissue while releasing any adhesions that are interfering with function. Because we’re able to see inside the uterus during the procedure, we can be very precise, which helps minimize trauma and maximize healing potential.

After surgery, we don’t just send you on your way—we put just as much care into your recovery. To prevent the scar tissue from coming back, we often place a small balloon or stent inside the uterus temporarily to keep the uterine walls from sticking together while they heal. We may also recommend estrogen therapy, which encourages the endometrial lining to regenerate and heal smoothly. And of course, we schedule regular follow-up hysteroscopies to check on your progress and ensure that adhesions aren’t returning.

Planning For Pregnancy After Treatment

Many patients want to know what comes next—especially when fertility is part of the picture. The good news is that after treatment, many women are able to conceive naturally. Once we’ve confirmed that the uterus is healthy and functioning well, we often recommend trying naturally for a few months, depending on your age and overall reproductive health.

If natural conception isn’t happening or if other fertility challenges are present, we can explore assisted reproductive technologies like intrauterine insemination (IUI) or in vitro fertilization (IVF). We provide a full range of fertility services under one roof, so we’re able to transition you seamlessly into the next phase of care—whatever that may look like for you. Whether it’s hormonal support, ovulation tracking, or advanced reproductive techniques, we’re with you all the way.

How We Support You At Audubon Fertility?

Here at Audubon Fertility, we know how overwhelming reproductive health concerns can feel—especially when you’re not getting clear answers. That’s why we’re committed to providing personalized, compassionate care to each and every person who walks through our doors.

Our fertility specialists have extensive experience diagnosing and treating Asherman’s Syndrome. We use the latest diagnostic tools and minimally invasive surgical techniques to ensure you receive the most effective and least disruptive care possible. But beyond that, we take the time to understand your unique history, concerns, and goals. We don’t just treat the condition—we support you through the entire journey.

Whether your goal is to restore your menstrual health, conceive naturally, or explore fertility treatments like IVF, we’ll design a treatment plan that fits your life and your hopes for the future. And we’ll be right beside you—celebrating your wins, guiding you through tough moments, and always working toward the best outcome possible.

Let’s Take The First Step Together

Asherman’s Syndrome might not be widely talked about, but its effects are very real. The important thing to know is that it is treatable—and many people go on to have healthy pregnancies after addressing it. If you suspect something isn’t quite right with your cycle or fertility, don’t wait. You deserve answers, and you deserve a team who will advocate for your health with both expertise and heart.

We’re here to help you find the answers and the healing you need. If you’re ready to take the next step, reach out to us. Let’s talk. Let’s explore. And let’s work together to restore not just your reproductive health—but your peace of mind.

Contact Audubon Fertility today to schedule a consultation.