What should you know about stages of Asherman syndrome?

Asherman syndrome, also called intrauterine adhesions, occurs when bands of scar tissue join parts of the womb cavity. A person may have very light or absent periods, pelvic pain around an expected period, difficulty becoming pregnant or repeated pregnancy loss. Symptoms do not always show how extensive the adhesions are.

Clinicians may describe adhesions by their location, density and the amount of cavity involved rather than using one universal staging system. The usual aim is to see the cavity clearly and understand how the lining may respond.

Arrange a gynaecology assessment if periods change after a uterine procedure, pregnancy loss or infection, or if fertility is affected. Operative Hysteroscopy can inspect the cavity and may remove adhesions. Further care can include follow-up imaging, hormonal support or fertility planning, depending on findings.

Tell the clinician about previous Surgical Management of Miscarriage, caesarean birth, retained pregnancy tissue or uterine infection. Bring details of cycle changes and any prior scans or procedures.

Seek prompt care for severe pelvic pain, fever, foul-smelling discharge, heavy bleeding or feeling faint, especially after a procedure. Arrange a non-urgent review for Periods Stopped, markedly lighter bleeding, ongoing cyclical pain or difficulty conceiving. These symptoms can have several causes, so examination is needed rather than self-diagnosis.

How were the adhesions identified and how extensive are they? Could they explain my bleeding or fertility concerns? Is hysteroscopy recommended, and what follow-up will check the cavity? What should I do if pain, fever or bleeding occurs after treatment?