Pregnancy and Asherman’s Syndrome
Pregnancy and Asherman’s Syndrome is a frequently asked question. Women need to know if they are still able to get pregnant and carry to term. Asherman’s syndrome is a condition where adhesions form inside the uterus causing the front and back walls to stick together. It usually follows a D&C performed after a miscarriage, termination of pregnancy, or following a retained placenta.
It is possible to get pregnant with Asherman’s syndrome, but the condition severely impacts fertility. Scar tissue (adhesions) inside the uterus create a hostile environment for implantation and fetal growth. Conception and pregnancy outcomes depend heavily on the severity of the scarring.
There is a reduced uterine Space. Scarring blocks the uterus or reduces the space an embryo needs to implant and grow.
The uterine lining (endometrium) may be damaged, limiting blood flow and preventing the placenta from attaching and functioning properly.
Even when pregnancy is achieved, there is a much higher risk of recurrent miscarriage, preterm delivery, and severe placental issues like placenta previa or placenta accreta.
Treatment usually involves hysteroscopic surgery (adhesiolysis) to carefully cut and remove the scar tissue. Hormone therapy is then used to help the uterine lining heal. If successful, many women go on to have successful pregnancy and birth.
Pregnancy remains much more challenging in severe cases, often yielding lower success rates and sometimes requiring alternative paths like in-vitro fertilization (IVF) or a gestational surrogate.
If you are diagnosed with Asherman’s syndrome and hope to conceive, speaking with a reproductive endocrinologist or fertility specialist is strongly recommended. You can find specialist care options and read more about the condition’s impact on fertility via the Cleveland Clinic or the Mayo Clinic resources
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