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Ashermans Syndrome

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Are you feeling emotionally drained out because of your inability to give birth to a child?

Miscarriages are not just a loss of an unborn foetus, but it is a loss of hope and dream that the couple had about having a child. Recovering physically from a miscarriage may take a few months but the mental trauma and guilt that a couple especially a woman experience after a miscarriage might not heal for months. 

The guilt of losing a child increase many fold  when the underlying cause of the miscarriage is an issue in the uterus. And although it might be distressing for women, usually these miscarriages occur because of some underlying medical conditions. 

Asherman’s syndrome treatment is one of the most common causes of miscarriage and is perfectly curable

Asherman syndrome is a reversible medical condition and by initiating proper medical treatment you can turn your dream of having a child into reality.

By reversing your Asherman’s syndrome you take a step forward towards realising your dream of having a child to complete your family. Step out of the guilt of causing your unborn child’s death by proper treatment.

With treatment for Asherman’s syndrome, you take an important step from infertility to parenthood as Adriana did.

Benefits-of-Asherman’s-Syndrome-Treatment-in-India

Adriana, a 37-year-old -banker was enjoying her marital bliss with the love of her life. Although the couple was married for the last six years they did not plan for a baby, because soon after their marriage Andriana was diagnosed with uterine fibroid.

After getting treated for uterine fibroid the couple waited for a few years before they started planning for a baby. The couple succeeded in conceiving a child but the happiness was short-lived because within a few weeks of conception Andriana had a miscarriage. The same thing happened the next three times when Andriana conceived.

Dejected Andriana and her husband Joshua went to a gynaecologist for understanding the cause of frequent miscarriages. The doctor suggested a few tests and scans for Srishti to understand the underlying cause of the frequent miscarriage.

The transvaginal ultrasonography report suggested intrauterine adhesion caused the frequent miscarriage. After understanding the spread of the disease the doctor suggested operative hysteroscopy for Andriana.

Joshua and Andriana started looking for a treatment to reverse Ashmerman’s syndrome. While searching online Joshua visited the MedicoExperts website and dropped the inquiry.

The MedicoExperts patient care department contacted Joshua, and explained his issue to the team and forwarded all the reports to the patient care manager of MedicoExpert. After receiving the reports, online video consultation is arranged with one of our empanelled gynaecologists for the treatment.

During the consultation, The doctor explained the operative hysteroscopy procedure in detail and its success rate to the couple.

After understanding all the aspects of the treatment, Adriana and Joshua decided to go for the Asherman syndrome treatment with our empanelled doctor.

The couple flew to India for the treatment. The patient care team of MedicoExpert ensure hassle-free hospitalisation for Adriana. After the paperwork was done the doctors conducted a few blood tests to understand Adriana’s overall health condition. 

Once the reports showed that Adriana can undergo the surgery the doctor performed an operative hysteroscopy for Andriana to remove the scar tissues. 

Within a few days after the surgery, Adriana was discharged from the hospital. Within a few months after the procedure, Adriana conceived. This time she had a full-term pregnancy and delivered a beautiful son.

Like Adriana you too can become a mother by reversing your Asherman’s syndrome. But before understanding the treatment for Asherman’s syndrome let us first understand more about Asherman’s syndrome.

Benefits-of-Asherman’s-Syndrome-Treatment-in-India

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What is Asherman Syndrome or Adhesion in the uterus?

Asherman’s syndrome or intrauterine adhesion is a rare acquired uterine condition in which scar tissues begin to form in the inner lining of the uterus. The scar tissue build-up tends to thicken up on the uterine lining thereby occupying a larger area of the uterine cavity. The intrusion of these scar tissues in the uterine cavity can cause pelvic pain and abnormal uterine bleeding and difficulty in conceiving a child. There have been instances where women with Asherman Syndrome conceived but had a miscarriage during the early months of pregnancy.

However, women who face infertility issues because of Asherman’s Syndrome can get pregnant successfully after undergoing Asherman’s Syndrome treatment in India. With minimally invasive hysteroscopy in India to treat this condition, women can now find a solution to their infertility problems with the potential of conceiving and bearing a child of their own.

What are the symptoms of Asherman’s syndrome or Intrauterine adhesion?

The most common symptoms of intrauterine adhesion or Asherman’s syndrome are:

Menstrual disorders: 

Prolonged menstrual periods of no menstrual bleeding, these menstrual abnormalities usually occur, because the scar tissue adhesions block the blood clot from the uterus to the vagina.

Pelvic or abdominal pain: 

Due to retention of menstrual bleeding, women having Asherman’s Syndrome may experience severe pain during periods or between periods.

Retrograde Menstruation: 

Retrograde menstruation prevents endometrial tissue from leaving the uterus which may cause the release of endometrial tissue into the abdominal cavity through the uterine tube or the fallopian tubes. 

Blood released by the fallopian tubes into the abdominal cavity can settle into cysts or endometriosis.

Recurrent miscarriage: 

As the scar tissue occupies a significant space inside the uterine cavity gestation becomes impossible causing recurrent miscarriages in women who conceive.

What are the common causes of uterine adhesion?

Several reasons can cause Asherman’s syndrome some of the most common causes of Asherman’s syndrome are:

Sometimes women who underwent hysteroscopic surgery to remove their uterine fibroid can develop Asherman’s syndrome at the site from where the fibroid has been removed.

Dilation and curettage (D&C) is a common procedure during which the doctor removes the endometrium lining of the uterus or tissue from a miscarriage or abortion. As this procedure requires scaping of extra tissues, sometimes it can cause scarring. However, D&C does not initiate scarring unless the woman who underwent D&C had an underlying infection.

This surgery is used to deliver a baby. In some cases, a c-section can cause scar tissue to form. This can happen when the stitches (sutures) were used to stop bleeding (haemorrhages) during the c-section and you have an infection at the time of the procedure. Otherwise, it’s very rare for a c-section to cause Asherman’s syndrome.

Some infections like cervicitis and pelvic inflammatory disease (PID) can cause Asherman’s syndrome.

Sometimes radiation therapy which is used to treat conditions like cervical cancer can lead to Asherman’s syndrome.

How is the Asherman syndrome diagnosis made?

The common diagnostic tests that help in diagnosing Asherman syndrome are: 

Ultrasonography

Ultrasonography or ultrasound helps in getting a view of the inner parts of the body. Transvaginal ultrasonography helps in observing the inner structure of the uterus.

Hysterosalpingogram (HSG)

During a hysterosalpingogram, radiography is combined with a contrast medium as we introduce it into the uterus.

Hysterosalpingogram gives a more complete test than ultrasound, to detect the presence of adhesions.

Hysteroscopy

Hysteroscopy involves the insertion of a camera into the uterine cavity to observe it.

Asherman’s syndrome can be detected much clearer with this test as it gives direct visualisation of the adhesions. 

Benefits-of-Brazilian-Butt-Lift-in-India (1)
Benefits-of-Brazilian-Butt-Lift-in-India (1)

What is the treatment for Asherman syndrome?

The treatment for Asherman syndrome involves:

Intrauterine balloon

During Intrauterine balloon treatment a balloon is inserted into the uterus and, once positioned inside, it expands, which helps in keeping the uterine walls separate, while they heal.

Oestrogen Treatment: 

Oestrogen-based treatment is usually followed after surgical hysteroscopy. Oestrogen stimulates the natural growth of the damaged endometrial tissue. This hormone therapy helps in preventing the growth of the tissue that causes adhesions.

Operative hysteroscopy: 

Operative hysteroscopy  is the gold standard technique in treating Asherman’s syndrome. During operative hysteroscopy, the surgeon inserts a hysteroscope (a tiny telescope) into the uterus through the cervical opening. 

The hysteroscopy provides the surgeon with real-time visualisation to diagnose the extent of the adhesions to proceed accordingly. With the aid of small surgical instruments which are attached to the hysteroscope, the surgeon can remove the adhesions.

To ensure healing and proper recovery after the removal of adhesions, the uterine cavity must be held open. This is done by placing a balloon or splint to prevent the walls from sticking to each other. Doing so restores fertility and ensures the uterus or cervix is without any scars.

Timely treatment of Asherman’s syndrome through operative hysteroscopy is important as delay could risk the possibility of uterine cancer (either before or after menopause)

Who is at risk of developing Asherman’s syndrome?

Women who are at risk of developing Asherman’s syndrome include:

  • Women who had surgery on their uterus in the past, including operative hysteroscopy, complicated dilation and curettage (D&C) or caesarean section (c-section).
  • Females who had a history of pelvic infections.
  • Women who underwent treatment for cancer.
Benefits-of-Brazilian-Butt-Lift-in-India (1)
Benefits-of-Brazilian-Butt-Lift-in-India (1)

What are the indications for hysteroscopy in women having Uterine adhesion?

Hysteescopy is usually indicated in women having uterine adhesion when the scar tissue build-up has occupied a significant part of the uterine cavity. This intrusion of the scar tissue prevents the growth of the foetus causing miscarriage.

Hystescopy is also advised for women who are not responding well to other treatment alternatives.

What are the hysteroscopy side effects?

Typically, hysteroscopy does not cause any significant side effects however a few women may experience: 

  • Vaginal bleeding
  • Swelling in the lower abdomen
  • Nausea due to anaesthesia (this usually goes away within a day or two)
Benefits-of-Brazilian-Butt-Lift-in-India (1)
Benefits-of-Brazilian-Butt-Lift-in-India (1)

How to choose a country for Asherman syndrome treatment?

Choosing the best country for treatment is a challenging task. However, by taking care of the following tips you can select the best country for undergoing the Asherman syndrome treatment procedure:

  • Prefer a country that provides you with advanced healthcare facilities
  • If you are looking for affordable treatment, then choose a country that offers the best healthcare facilities at a pocket-friendly cost.
  • Opting for a country that has frequent connecting flights from your home country is essential for better connectivity.
  • Choose a country that has well-developed local transportation facilities, to ease your local commute.

India has emerged as a viable solution for people looking for world-class treatment at an affordable price.

How to choose the best hospital for Asherman syndrome treatment in India?

Choosing a hospital for Asherman syndrome is crucial and must be done after much speculation. While looking for a hospital you must ensure that the hospital is accredited by JCI and NABH. These certifications help patients to rest assured that the hospital has the necessary healthcare equipment, well-trained staff and a good and hygienic environment.

A well-equipped hospital with well-trained staff and a hygienic environment plays a crucial role in healing and managing any complications that might develop after a surgical procedure.  

Benefits-of-Brazilian-Butt-Lift-in-India (1)
Benefits-of-Brazilian-Butt-Lift-in-India (1)

How to choose the best hysteroscopic doctors for Asherman syndrome treatment in India

Selecting the best hysteroscopic doctor in India is a crucial decision that you will make. The selection of a doctor is crucial because the outcome of the procedure mainly depends on the expertise of the doctor you have selected.

While selecting the best hysteroscopic doctor in India you must ensure:

  • The doctor holds expertise in the performing operative hysteroscopy
  • You are comfortable talking to the doctor and sharing your concerns
  • The doctor has successfully performed operative hysteroscopy procedures in past

What is the success rate of Asherman syndrome treatment in India?

 Asherman’s syndrome treatment in India has a success rate of about 98%. Around 98% of women who underwent operative hysteroscopy for Asherman’s syndrome treatment in India said that they got relief from painful menstrual cycles.

Besides managing the symptoms of periods the treatment also helped several women to conceive and give birth to a child after completing their gestation like any healthy woman

Benefits-of-Brazilian-Butt-Lift-in-India (1)
Benefits-of-Brazilian-Butt-Lift-in-India (1)

What is the cost of Asherman syndrome treatment in India?

Operative hysteroscopy cost in India ranges between 2500 USD to 3000 USD or 2,00,000 to 2,50,000 INR. However, this cost may vary depending on the chosen surgeon, city and the chosen facility.

Also, there may be an additional cost during the treatment to perform any pre-procedure or to manage post-procedure complications.

Frequently Asked Questions and patient concerns:

1. How to diagnose Asherman syndrome?

The best way to diagnose Asherman syndrome is through a hysteroscopy because it gives direct visualisation of the entire uterine cavity.

The other common ways to diagnose Asherman’s syndrome are:

  • Hysterosalpingography (HSG) or 
  • Saline infusion sonography (SIS).

2. Can Asherman syndrome be treated?

Yes! Asherman syndrome can be treated with appropriate medical care. By reversing your Asherman Syndrome you can get rid of the symptoms associated with it. Apart from managing the symptoms, the treatment can also help you regain your ability to continue a full-term pregnancy.

3. How can you get rid of Asherman syndrome?

By getting rid of the inbuilt scar tissues in the uterine cavity you can get rid of Asherman syndrome. To get rid of the scar tissues your doctor can suggest either of the treatments:

  • Intrauterine balloon
  • Oestrogen therapy
  • Operative hysteroscopy

4. Can I get pregnant despite having Asherman syndrome?

Yes! You can get pregnant despite having Asherman syndrome. However, if you have Asherman syndrome you will not be able to complete your gestation as the scar built-up does not allow the growth of the foetus which in turn causes miscarriage or the death of the foetus in the womb.

5. Is hysteroscopy a major surgery?

No! Hysteroscopy is not a major surgery, but a minimally invasive procedure during which your doctor inserts a camera into the cervical opening through the vagina.

6. How painful is a hysteroscopy?

Typically hysteroscopy is a painless procedure. However, the experience can vary from person to person.

7. How long is recovery for hysteroscopy?

It typically takes around 2-3 weeks to recover completely after operative hysteroscopy.

8. What should you avoid before a hysteroscopy?

Before hysteroscopy your doctor will advise you to avoid:

  • Smoking tobacco for at least a week before and after the procedure
  • Stress before the procedure
  • Any medicines that alter the thickness of the blood for at least a week before and after the procedure
  • Avoid sexual intercourse for at least two weeks after the procedure

9. What should you not do after a hysteroscopy?

After hysteroscopy one should avoid:

  • Smoking cigarettes for at least a week after the procedure
  • Any sexual intercourse
  • Any medication that alters the thickness of the blood for at least a week after the procedure.

10. How do you feel after a hysteroscopy?

After a hysteroscopy, a few women experience:

  • Vaginal bleeding
  • Swelling in the lower abdomen
  • Nausea due to anaesthesia (this usually goes away within a day or two)

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