One of the unanticipated obstacles that some women face on the path to parenting is Asherman’s Syndrome.
This condition, marked by the formation of adhesions and scarring in the uterus, can cause significant pain and frustration, particularly when it leads to infertility.
But what does it truly mean to face a diagnosis of Asherman’s Syndrome?
At Family Aims, we understand the complexities of dealing with this syndrome. We are committed to helping women gain a deeper understanding of the condition, providing them with all the information they need to navigate this difficult path.
What is Asherman’s Syndrome?
Asherman’s Syndrome is a gynecological condition that affects the uterus, where adhesions form after endometrial damage. These scar bands can be thin or thick, and cause alterations in uterine function. They are commonly caused by procedures such as dilatation and curettage, which are performed after a miscarriage or by infections such as endometritis, as well as for certain diagnoses. This syndrome can complicate menstruation and fertility.
Causes and common symptoms
Asherman’s syndrome is characterized by variable symptoms such as scant or absent menses and pelvic pain, which may indicate the presence of uterine adhesions.
As these adhesions can impact the development of a pregnancy and fertility, a thorough examination and imaging methods are required to diagnose it , and surgery to remove adhesions is typically the first step in treatment, with further preventive measures being considered.
Sometimes, endometrial damage is so severe that there are few treatment alternatives, and when the uterine walls become fully adherent, it may be considered incurable and make fertilization difficult. In addition, due to some possible symptoms, it can potentially change the quality of life.
Alternative treatments
The standard treatment for Asherman’s Syndrome is surgical hysteroscopy, which removes uterine adhesions and improves fertility. In cases where this is not possible, symptom relief is sought and alternatives to achieve motherhood such as adoption or surrogacy are evaluated.
After the operation, the formation of new adhesions is prevented by keeping the uterine cavity extended with a Foley catheter or balloon, an IUD (intrauterine device) and gel. In addition, endometrial regeneration is usually promoted with estrogen therapy. If infection is present, antibiotic treatment is administered.
When Asherman’s Syndrome prevents conception, there is a widely recommended and effective method: surrogacy. This is an option that allows these women to have biological children, even if they cannot gestate themselves. The process involves the creation of an embryo with their DNA, and a gestational carrier who lends her body for the pregnancy.
Emotional support to minimize the impact
Facing Asherman’s Syndrome may be a very sensitive and challenging time, regardless of the treatment method chosen. It’s essential to surround yourself with a network of emotional and psychological support of understanding and companionship.
Support groups, therapy, and counseling are necessary as companionship spaces for those going through this process. At Family Aims, we contact trusted psychologists and assisted gestation specialists who provide the support these women need during this complex process.
Embracing hope in the midst of uncertainty
Asherman’s Syndrome is not the end of the path to motherhood, even though it may appear to be a significant obstacle. With love, support, and an open mind to other options, women can use surrogacy to live the life they desire and realize their dream of motherhood.
If you would like to have more information about this and other fertility compromising syndromes, explore our blog or visit our website. You can schedule an appointment and plan the treatment that best suits your situation with our partner clinic.