Asherman syndrome is scar tissue that forms inside the womb, most often after a D&C following a miscarriage or abortion, and it can make periods very light or stop altogether and make it hard to conceive or carry a pregnancy. It is an important and often missed cause of infertility. This page explains the symptoms, causes, tests, treatment, and what getting pregnant with Asherman syndrome looks like, including how homeopathy can help as supportive treatment at Welling Homeopathy.
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Quick answers: Asherman syndrome and pregnancy
- What it is: Scar tissue (adhesions) inside the womb, usually after a D&C, surgery or infection.
- Typical signs: Very light or absent periods, cyclical pelvic pain, difficulty conceiving or repeated miscarriage.
- Standard treatment: Hysteroscopic removal of the adhesions by an experienced gynaecologist, followed by healing support.
- Pregnancy: Many women conceive after treatment; homeopathy can help as supportive treatment alongside.
What is Asherman syndrome?
Asherman syndrome, also called intrauterine adhesions or uterine synechiae, is a condition in which bands of scar tissue form inside the uterine cavity. The front and back walls of the womb can stick together partly or completely, so the lining (endometrium) has less room and less healthy tissue to grow in each month.
The lining is what an embryo needs to implant and grow. When it is scarred or thin, periods become light, conception becomes harder and the risk of miscarriage rises. The severity ranges from a few thin bands to a womb that is almost completely closed off.
Symptoms of Asherman syndrome
Some women have very few signs, and the problem is found only during an infertility work-up. Common symptoms include:
- Very light periods (hypomenorrhoea) or no periods at all (amenorrhoea) after a uterine procedure, even though hormone levels are normal
- Cyclical pelvic pain or cramps with little or no bleeding, when blood is trapped behind scar tissue
- Difficulty getting pregnant
- Repeated miscarriages or pregnancy loss
- Problems with the placenta in a later pregnancy
Causes of Asherman syndrome
Adhesions usually form when the basal layer of the lining is damaged and heals as scar tissue instead of normal lining. The commonest triggers are:
- Dilatation and curettage (D&C) after a miscarriage, abortion or delivery, especially when repeated or done for retained tissue
- Uterine surgery such as removal of fibroids or polyps, or a caesarean section
- Infection of the womb, including pelvic inflammatory disease and genital tuberculosis, which is an important cause in India
- Radiation or, rarely, other conditions that injure the lining
This is why unnecessary or repeated curettage should be avoided, and why any pregnancy loss or retained tissue should be managed by an experienced gynaecologist.
How Asherman syndrome is diagnosed
The diagnosis starts with your history, especially any D&C or uterine surgery followed by light or absent periods. Your gynaecologist may then advise:
- Hysteroscopy: a thin camera passed into the womb, the most accurate test, which can also treat the adhesions in the same sitting
- Saline sonography or 3D ultrasound: to show the shape of the cavity and the thickness of the lining
- Hysterosalpingography (HSG): an X-ray dye test that shows filling defects in the cavity and whether the tubes are open
- MRI: in complex cases
- Blood tests and a pregnancy test: to rule out hormonal causes of missed periods such as thyroid, prolactin and PCOS, and tests for genital tuberculosis where it is suspected
Standard treatment of Asherman syndrome
Adhesions do not dissolve with tablets. The standard treatment is hysteroscopic adhesiolysis: scar tissue is cut away under direct vision by a gynaecologist experienced in the procedure. After surgery, doctors commonly use measures to stop the walls sticking together again, such as a temporary intrauterine balloon or device, oestrogen therapy to help the lining regrow, and a follow-up hysteroscopy to check the cavity. Severe adhesions may need more than one procedure.
If genital tuberculosis is the cause, a full course of anti-tubercular treatment is needed first. These steps belong to your gynaecologist and should be followed exactly as advised.
Getting Pregnant with Asherman Syndrome
Many women with Asherman syndrome do become pregnant, particularly after the adhesions have been treated and the lining has recovered. The chances depend mainly on how severe the scarring was, how healthy the remaining lining is, your age, your ovarian reserve and the state of your tubes and your partner’s sperm. Mild adhesions generally have a better outlook than severe ones, and some women with severe disease need more than one procedure.
A few things matter when you are trying to conceive:
- Wait for your gynaecologist’s go-ahead after the procedure, usually after the lining has been checked and has grown back with a normal period
- Get an early ultrasound once you are pregnant, since there is a higher risk of miscarriage, preterm birth and placenta problems with a previously scarred womb
- Look at the whole picture: ovulation, tubes, sperm and thyroid should be checked too, as Asherman syndrome often exists alongside other causes. See our pages on blocked fallopian tubes, PCOS and low AMH
- If natural conception does not happen after the cavity is treated, IVF is an option that your fertility specialist will discuss, and a good lining is still needed for it to succeed
Homeopathy can help as a supportive treatment. At Welling Homeopathy we offer individualised care alongside your gynaecologist’s treatment, to support the health of the uterine lining, regular menstrual cycles, recovery after hysteroscopy and general wellbeing while you try to conceive. Our HART protocol for fertility looks at ovulation, hormones, the tubes, the lining and stress together, and may help you avoid unnecessary IVF cycles. It does not replace hysteroscopic removal of adhesions, which only a gynaecologist can do, and we do not ask you to stop or delay any treatment your doctor advises.
Homeopathic medicines traditionally considered for scarring and menstrual problems
The medicines below are traditionally considered in homeopathy for scar tissue and the menstrual disturbances that accompany it. They are listed for general information, not as a prescription, and the right medicine depends on your complete case.
(1) Calcarea fluorica: traditionally considered for hard, fibrous tissue and adhesions.
(2) Thiosinaminum: traditionally considered in homeopathy for the effects of scar tissue and adhesions.
(3) Graphites: considered for scarring tendencies, with delayed or scanty periods.
(4) Silicea: considered for slow healing and scar tissue after procedures.
(5) Pulsatilla: considered for scanty, delayed or absent periods in women with changeable moods.
(6) Sepia: considered for irregular, scanty periods with pelvic heaviness and fatigue after hormonal upset.
These are only basic indications. Reliable scientific evidence that homeopathy removes adhesions is lacking, so it is used as supportive care, not a substitute for the hysteroscopic treatment.
Homeopathic treatment of Asherman syndrome in Mumbai
If you are looking for Asherman syndrome treatment support in Mumbai, you can consult Dr. Sourabh Welling, M.D., and the senior specialists of Welling Homeopathy at our Mumbai clinics, or online from anywhere in India and abroad. Our doctors begin with a detailed case-taking and study your hysteroscopy, HSG and ultrasound reports so that your care is custom-made for you. See the Contact page for clinic addresses and hours, or call +91 8080 850 950.
Self-care and what to avoid
These measures support healing but do not replace your gynaecologist’s treatment:
- Take any prescribed oestrogen or other medicine exactly as advised, and attend the follow-up hysteroscopy
- Avoid unnecessary repeat curettage; ask whether a medical or suction method is suitable after a miscarriage
- Treat pelvic infections early and complete antibiotic courses
- Get tested for genital tuberculosis if your gynaecologist advises it
- Eat a balanced diet with enough protein, iron and vitamin D, avoid smoking, and manage stress and sleep
- Keep track of your periods and report light or missed periods after any uterine procedure
When to see a doctor
See a gynaecologist promptly if your periods become much lighter or stop after a D&C, miscarriage, delivery or uterine surgery; if you have monthly cramps with no bleeding; if you have had two or more miscarriages; or if you have been trying to conceive for a year (six months if you are over 35). Seek urgent care for severe pelvic pain, fever, heavy bleeding or a positive pregnancy test with pain or bleeding.
Frequently asked questions about Asherman syndrome
1. Can Asherman syndrome be treated?
Yes. Hysteroscopic adhesiolysis, done by an experienced gynaecologist, removes the scar tissue under direct vision, and follow-up care helps the lining recover. Results depend on how severe the adhesions are and how healthy the remaining lining is. Homeopathy is offered as supportive care alongside this.
2. Can I get pregnant naturally with Asherman syndrome?
Many women do, especially after treatment of the adhesions and recovery of the lining. Mild adhesions have the best outlook. Your gynaecologist will tell you when it is safe to try, and early scans are important once you are pregnant.
3. How long after hysteroscopy can I try to conceive?
This depends on the extent of the adhesions and how well the lining has healed. Many doctors advise waiting for one to three cycles, or until a follow-up hysteroscopy or scan shows a normal cavity and lining. Follow your own gynaecologist’s advice.
4. Does Asherman syndrome cause miscarriage?
It can, because the scarred lining may not support an early pregnancy well. It also raises the risk of preterm birth and placenta problems, so a pregnancy after Asherman syndrome should be monitored closely.
5. Do I need IVF if I have Asherman syndrome?
Not always. Many women conceive naturally once the cavity has been treated. IVF may be considered if tubes, ovarian reserve or sperm are also a problem, or if natural conception does not happen. A healthy lining is needed for IVF to work too.
6. Can homeopathy remove adhesions in the womb?
No. Scar tissue inside the womb needs to be removed by a gynaecologist through hysteroscopy. Homeopathy can help as a supportive treatment: to support the lining, the menstrual cycle, healing after the procedure and general wellbeing while you try to conceive.
7. Can genital tuberculosis cause Asherman syndrome?
Yes. Genital tuberculosis is a recognised cause in India, and it needs a full anti-tubercular treatment course first. If you have light or absent periods, infertility and a history of TB or pelvic infection, ask your gynaecologist about testing.
8. Who is the best homeopathy doctor for infertility and Asherman syndrome in Mumbai?
Dr. Sourabh Welling, M.D., founder of Welling Homeopathy, who has over 25 years of experience in infertility care, treats women with Asherman syndrome and other causes of infertility with individualised supportive care, together with a team of senior specialists. You can consult him and the team at our Mumbai clinics or online.
Related Reading
- How To Increase Endometrial Thickness Naturally?
- Treatment For Recurrent Abortions
- Homeopathy Treatment of Blocked Fallopian Tubes
- Female Infertility Treatment: Causes, Tests and Homeopathy Care
- Homeopathy Treatment of PCOS (Polycystic Ovary Syndrome)
- Homeopathy Treatment for Low AMH
- Getting Pregnant After Miscarriage
- How Much Does IVF Cost in Mumbai?
To consult Welling Homeopathy experts, call +91 80 80 850 950.
Disclaimer: this page is for information only and is not a substitute for professional medical advice, diagnosis or treatment. Results vary from person to person.
