Asherman’s Syndrome is a condition that affects the female uterus. It consists of the formation and persistence of adhesions or fibrosis within the inner walls of the uterine cavity. Naturally, this may seriously affect the uterine function of conceiving and gestating a baby.

At Instituto Bernabeu we offer individual solutions to couples struggling with infertility problems based on our experience in using the technologies and resources available to us and incorporating the latest known findings on successful treatments.

Therefore, within the Instituto Bernabeu Implantation Failure Unit, we assist couples diagnosed with Asherman’s Syndrome with a detailed evaluation of their case by determining a realistic prognosis of treatment and offering excellent reproductive advice.

This syndrome is most frequently caused by D&C’s or uterine infections.

In order to correctly diagnose what occurs in the endometrial cavity, a detailed study must be conducted, particularly a trans-vaginal ultrasound and a diagnostic hysteroscopy.

The trans-vaginal ultrasound scan allows us to suspect the presence of adhesions, as well as what type they are. The diagnostic hysteroscopy is what lets us see the adhesions more clearly, how much they affect the cavity and the quality of the endometrium. Furthermore, it allows us to plan the treatment and establish a prognosis depending on the severity of the case.

The treatment is also carried out with hysteroscopy, resecting the adhesions and attempting to keep them from forming again using the insertion of intrauterine devises.

The importance of uterine vascularization in endometrial growth has also been evaluated, that is the blood flow to the endometrium.

We have recently adapted treatment plans combining traditional methods and others that are promising in the reproductive outcome of Asherman’s Syndrome, such as the hysteroscopic resection of adhesions through laparoscopy and the use of an intrauterine balloon to prevent the recurrence of adhesions, etc.

The prognosis for treatment success varies and depends on the degree to which the endometrial cavity was initially affected. Therefore, each case should be considered as unique in order to determine the possibilities we have of achieving our goal.

Therefore, it is essential to individually study each case in order to provide successful treatment.

Dr. José M. Gómez, gynaecologist of Instituto Bernabeu.

Further information on our web page dedicated to the diagnosis and treatment of Asherman’s Syndrome

For further information, consult our website: www.institutobernabeu.com/en/

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