Asherman’s Syndrome occurs when scar tissue forms inside the uterus, leading to problems like irregular periods, infertility, and pregnancy loss. The good news is that it can be effectively treated with hysteroscopic adhesiolysis, a simple and minimally invasive procedure that removes the scar tissue and restores the uterus.
PREPARING FOR THE PROCEDURE
Before the procedure, doctors perform tests like ultrasound or X-rays to find the exact location of the adhesions. Estrogen therapy is often given to prepare the uterus, and antibiotics may be prescribed to prevent infections. The surgery is done under anesthesia to ensure the patient is comfortable.
HOW THE PROCEDURE IS DONE
Step 1: Using the Hysteroscope
A thin, flexible tube with a camera, called a hysteroscope, is gently inserted into the uterus through the cervix. To get a clear view, the doctor fills the uterus with a safe fluid or gas. This step helps the doctor see where the adhesions are.
Step 2: Removing the Scar Tissue
Special tools are used to carefully remove the adhesions without harming the healthy parts of the uterus.
- Scissors: These are used for precise cutting of the scar tissue.
- Electrosurgical Devices: These tools help remove thicker or tougher adhesions safely.
The goal is to fully clear the uterus and restore its natural shape.
Step 3: Checking the Results
Once the adhesions are removed, the doctor checks to ensure the uterus is free of scar tissue. This reduces the chance of the adhesions coming back.
AFTER THE PROCEDURE
After surgery, steps are taken to help the uterus heal and prevent new adhesions.
- Temporary Device: A small tube may be placed in the uterus to keep it open while it heals.
- Hormone Therapy: Estrogen is often prescribed to encourage the uterine lining to grow back.
- Follow-Up Check: A second hysteroscopy is done a few weeks later to ensure the uterus has healed properly.
WHY IT’S EFFECTIVE
Hysteroscopic adhesiolysis is a safe and effective treatment for Asherman’s Syndrome. It offers quick recovery and excellent results, helping patients regain their menstrual cycle and fertility. Early diagnosis and timely treatment are key to achieving the best outcomes, giving patients a chance to live healthier and happier lives.