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Missed period
Can't get pregnant
I have trouble with my period
Decreased period bleed
Spotting
Difficulty conceiving
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What is Asherman Syndrome?
This is a rare condition that can occur after uterine procedures and is diagnosed by findings bands of scar tissue (adhesions) in the uterine lining. While a dilation and curettage procedure is the most common reason patients can develop Asherman Syndrome, most patients can safely undergo such procedures without any complications. It can also occur from some genital infections such as Tuberculosis, and other less common conditions.
Typical Symptoms of Asherman Syndrome
- History of previous miscarriage or abortion
- Unusual changes in period
- Irregular periods
- Difficulty getting pregnant
- Hardly any bleeding during periods
- Short interval between periods e.g. 24 days or less
- Vaginal bleeding or discolored discharge outside of your period
- Periods that last more than 8 days
Diagnostic Questions for Asherman Syndrome
Your doctor may ask these questions to check for this disease:
- Have you ever had a miscarriage or abortion before?
- Have you noticed any unusual changes in your period?
- Are your periods irregular?
- Are you struggling to conceive?
- Do you hardly have any bleeding during your periods?
Treatment of Asherman Syndrome
Asherman Syndrome is typically asymptomatic, but can occasionally cause problems with periods, or with menstrual pain. Treatment is only necessary if planning for pregnancy or experiencing pain. This is done through a surgical procedure to remove scars in the uterus, and occasionally with medications to prevent recurrence
Reviewed By:
Ravi P. Chokshi, MD (Obstetrics and Gynecology (OBGYN), Critical Care)
Current Maternal Fetal Medicine Fellow with Dual board certification in Obstetrics & Gynecology and Critical Care Medicine. | 5+ years experience managing a general Ob/Gyn practice and working in the Intensive Care Unit. | Previously Physician Lead of a large single specialty practice with 8 Physicians and 10+ Advanced practitioners. | Member of the Society of Maternal Fetal Medicine Patient education committee. | Frequent Medscape Consult contributor.
Seiji Kanazawa, MD, PHD (Obstetrics and Gynecology (OBGYN))
Dr. Kanazawa graduated from the Niigata University Faculty of Medicine and received his Ph.D. from the Tohoku University Graduate School of Medicine. He is working on the front line of the General Perinatal Center, including the Tokyo Tama General Medical Center and the National Center for Research in Fertility Medicine, where he provides maternal and fetal care and undertakes clinical research. At Ubie, Dr. Kanazawa has been designing the Ubie AI Symptom Checker and has taken on the role of general obstetrics and gynecology consultation at FMC Tokyo Clinic by providing fetal ultrasound and prenatal consultation.
Content updated on Mar 31, 2024
Following the Medical Content Editorial Policy
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People with similar symptoms also use Ubie's symptom checker to find possible causes
- Irregular periods
- Can't have children
- Heavy periods
- Absent periods
- Long periods
- Difficulty conceiving children
- Period not stopping
- Increased bleeding during periods
- Having a hard time getting pregnant
- Two periods in one month
- Irregular period
- Periods occurring more frequently than 24 days
- Trouble getting pregnant
- Lighter periods
- Periods occurring too frequently
See full list
Symptoms Related to Asherman Syndrome
Diseases Related to Asherman Syndrome
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Link to full study:
https://www.medrxiv.org/content/10.1101/2024.08.29.24312810v1References
Benor A, Gay S, DeCherney A. An update on stem cell therapy for Asherman syndrome. J Assist Reprod Genet. 2020 Jul;37(7):1511-1529. doi: 10.1007/s10815-020-01801-x. Epub 2020 May 22. PMID: 32445154; PMCID: PMC7376809.
https://link.springer.com/article/10.1007/s10815-020-01801-xSmikle C, Yarrarapu SNS, Khetarpal S. Asherman Syndrome. 2021 Nov 25. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan–. PMID: 28846336.
https://www.ncbi.nlm.nih.gov/books/NBK448088/ACOG Patient FAQ
https://www.acog.org/womens-health/faqs/dilation-and-curettage#:~:text=In%20rare%20cases%2C%20after%20a,This%20is%20called%20Asherman%20syndrome.Medscape
https://emedicine.medscape.com/article/1848296-overview?icd=login_success_email_match_norm#a9National Organization of Rare Disorders
https://rarediseases.org/rare-diseases/ashermans-syndrome/