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Does a Woman Can Conceive with Uterine Adhesions?

Uterine adhesions are an acquired condition that refers to having scar tissue in the uterus or in the cervix. This scar tissue makes the walls of these organs stick together and reduces the size of the uterus.

During menstruation the upper layer of the endometrium is shed. When a woman becomes pregnant, the embryo implants in the endometrium. Injury or infection of the endometrium may damage the lining and cause formation of adhesions between the inner walls of the uterus where the walls abnormally adhere or stick to each other. This is also called Asherman syndrome. This syndrome is a term used to describe adhesions inside the uterus. This is very rare disease.

A woman with intrauterine adhesions may have no problems or symptoms. Until the scar tissue partially or completely blocks the menstrual blood flow. Asherman syndrome can cause pelvic pain or painful menstrual periods.

Symptoms of intrauterine adhesions:

  • Periods with light bleeding
  • No periods from long time
  • Severe pain in pelvic area
  • Infertility or unable to achieve pregnancy
  • Infrequent menstruation

Treatment of intrauterine adhesions:

A hysteroscope is generally used to remove intrauterine adhesion's, although there is still not much data proving the procedure decreases the chance of miscarriage.

Laparoscopy may also be performed in order to see the surface of the uterus to avoid perforating it during hysteroscopy. Many surgeons recommend temporarily placing a device, such as a plastic catheter, inside the uterus in an effort to keep the walls of the uterus apart and prevent adhesion's from reforming. Hormonal treatment with estrogens and progestin, and non-steroidal anti-inflammatory medications, are frequently prescribed after surgery to lessen the chance of adhesion reformation.

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