Miscarriage and Asherman’s Syndrome

Miscarriage and Asherman’s Syndrome

 

Miscarriage and Asherman’s Syndrome and linked by the surgical management of miscarriage. The care provided falls below the standard expected of a reasonably competent practitioner. A patient should be counselled about the benefits, risks and alternatives including expectant, medical and surgical treatment.

All options should be discussed with the patient before being booked for surgical treatment. A patient should be warned about the risk of Asherman’s syndrome, the risk to her fertility of having a D&C and the desire to preserve fertility should be taken into account when attending for advice and treatment. A D&C can cause adhesions which in turn cause infertility.

Expectant management is a natural process. Patients are not often given the opportunity to naturally miscarry. The psychological impact of the news that the pregnancy is no longer impacts the immediate decision making. There is less reliance on nature and more on surgical skill when ‘getting it over with’ and moving on.

Medical management is also a less invasive option associated with few risks than surgery. Medication is delivered to aid the natural process. This too could have avoided the development of intrauterine adhesions (Asherman’s syndrome) with the associated negative consequences on fertility.

Had the patient been warned of the risks of the surgical management few would choose D&C. Even if surgery was a necessary part of the process when nature and medication fails, surgical treatment can be obtained on a private basis using ultrasound guidance to preserve fertility.

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