How is Asherman’s syndrome diagnosed?
We are often asked how is Asherman’s syndrome diagnosed? Usually when you either experience symptoms of the condition like pelvic pain, amenorrhea (lack of menstruation), abnormal uterine bleeding or an inability to get and stay pregnant.
If you have had a dilation and curettage (D&C) procedure, c-section, radiation therapy or pelvic infection it is likely that you have adhesions. These adhesions are called Asherman’s syndrome. All of these procedures and conditions can lead to Asherman’s syndrome. Adhesions from D&C procedure are preventable. The risks should be adequately explained and alternative treatment options should also be discussed.
Your Doctor should do a physical exam to detect scar tissue inside your uterus. A sonohysterogram is also useful. This involves injecting a little saline solution inside your uterine cavity through a small catheter. Then they use transvaginal ultrasound to see if any tissue is blocking the cavity or cervix.
What imaging tests can be used to diagnose Asherman’s syndrome?
Imaging tests allow your Doctor see your internal organs. These tests can be used to diagnose Asherman’s syndrome including:
- Ultrasound: This type of imaging test uses sound waves to create a picture of your internal organs. An ultrasound can be done externally on your skin or internally with a transvaginal ultrasound. A thin wand is inserted into the vagina to examine the uterine wall.
- Hysteroscopy: During this procedure a thin tool with a camera on the end is used to look inside your uterus. This is inserted in your vagina and moved up through your cervix and into your uterus. Hysteroscopy allows a very detailed look at the inside of your uterus. It is used to treat Asherman’s syndrome.
- Saline infusion sonography: This imaging test uses ultrasound along with a saline (a mixture of salt and water) solution to create a clear image of the inside of your uterus. The fluid expands your uterus to see details of the shape and defects of your uterine cavity. This gives a very detailed look at the inside and outside of your reproductive organs.
Call us today
If you’re ready to discuss your situation or have any questions please contact Dr Victoria Handley today. Don’t suffer in silence. Call FREE on 0800 470 2009 or email vhandley@handleylaw.co.uk