Can surgical management of miscarriage cause Asherman syndrome?

The procedure does not mean that adhesions will develop. The possibility is considered when menstrual flow changes or fertility problems appear after treatment involving the uterine cavity.

Asherman syndrome is a pattern of bands of scar tissue, called intrauterine adhesions, that join surfaces within the uterine cavity. Injury to the uterine lining during removal of pregnancy tissue can allow healing surfaces to stick together.

Possible signs include periods becoming much lighter or stopping, cyclical pelvic pain with little bleeding, difficulty becoming pregnant or repeated pregnancy loss. These experiences can have other causes, so symptoms need evaluation rather than self-diagnosis.

Keep a record of bleeding, cycle timing and pelvic pain after your recovery. Arrange a gynaecology appointment if your periods do not return as expected, become markedly lighter than your previous pattern, or if you have difficulty conceiving.

Assessment may include imaging, but direct inspection of the uterine cavity with hysteroscopy can confirm adhesions. If present, a specialist may discuss hysteroscopic division of the scar tissue and follow-up to assess healing.

Seek prompt medical care after miscarriage treatment for heavy bleeding, worsening abdominal or pelvic pain, fever, fainting, unpleasant-smelling discharge or feeling seriously unwell. These symptoms may indicate bleeding, infection or retained pregnancy tissue rather than Asherman syndrome and should not wait for a routine visit.

Ask what menstrual changes are expected after your procedure, when an absent period warrants investigation, and which test can examine the uterine cavity. If adhesions are found, ask how treatment could affect pain, menstruation and future pregnancy planning.