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Intrauterine Adhesions Asherman's Syndrome - Scar Tissue Inside the Uterine Cavity
Advanced Fertility Center of Chicago
Gurnee & Crystal Lake, Illinois
A normal uterine cavity and endometrial lining is necessary in order to conceive and maintain a pregnancy. Scar tissue within the uterine cavity can interfere with conception, or can increase the risk of a miscarriage. This is sometimes referred to as Ashermans Syndrome. This is very uncommon. It can be caused by infection after a D&C, or by an infection following an abortion.
Very bright (hyperechoic) uterine lining - scar tissue in cavity
Normal uterine lining ultrasound
Red outline is outer contour of uterus, endometrial lining is
seen within the blue lines and yellow
dots are on the 3 layers of the "triple stripe" endometrial lining
View of the inside of the uterine cavity using hysteroscopy
White scar tissue is seen (same woman as in ultrasound at above left)
White patches are the scarred areas of adhesions, pink is normal tissue, dark red is blood
scar tissue in uterine cavity on office hysteroscopy uterine cavity after cutting away scar tissue
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Office hysteroscopy showing 2 bands of scar tissue (at green X's) going from "floor" to "ceiling" in uterine cavity |
Same view after in-office hysteroscopic resection of the scar tissue |
| This uterus appeared normal when studied with ultrasound alone | |
Intrauterine adhesions can be cut during hysteroscopy to improve chances for embryo implantation (pregnancy) and to reduce the risk of miscarriage
Related pages:
Uterine Problems
Uterine Polyps
Hysteroscopy and hysteroscopic surgery
Uterine Fibroids (proper medical terminology is myoma or leiomyoma)
Congenital uterine malformations, such as a bicornuate uterus, or a uterine septum
