Dr. Dimple Doshi (MBBS, MD, DGO)
Lady Gynecologist & Laparoscopic Surgeon
27+ years’ experience
20,000+ surgeries completed
Asherman’s syndrome is a condition where scar tissue (intrauterine adhesions) forms inside the uterus, which can reduce periods and affect fertility.
Asherman’s syndrome — also called intrauterine adhesions or uterine scarring — happens when bands of scar tissue form inside the uterine cavity. This can partly stick the walls together, change the cavity’s shape, and stop the endometrium (uterine lining) from growing normally. The result is often lighter periods and difficulty conceiving. The reassuring part: in many women, the adhesions can be carefully released and the cavity restored.
Asherman’s syndrome usually follows uterine procedures like a D&C after miscarriage or delivery, and sometimes genital infection or tuberculosis.
Common causes:
If you’ve had a procedure and then noticed much lighter periods, it’s worth getting checked — catching adhesions early makes treatment simpler.
Asherman’s syndrome often causes scanty or absent periods after a uterine procedure, sometimes with cyclic pain, infertility or recurrent miscarriage.
What women may notice:
These symptoms are worth taking seriously — not to worry over, but because they’re often very treatable once identified.
Asherman’s syndrome is diagnosed mainly by hysteroscopy — a direct look inside the uterus — supported by ultrasound, saline sonography or HSG.
Tests used:
Because hysteroscopy both confirms the diagnosis and can treat it, it’s central to Asherman’s care.
Asherman’s syndrome is treated by hysteroscopic adhesiolysis — gently cutting the intrauterine adhesions under direct vision, preserving the uterus.
Hysteroscopic adhesiolysis is the main treatment:
The procedure is usually short (often about 8–20 minutes, depending on severity). Care focuses on restoring the cavity and lining while keeping the uterus intact. Some women — particularly with severe adhesions — may need more than one procedure, and re-adhesion can occur, so follow-up matters.
Recovery after hysteroscopic adhesiolysis is quick — usually same-day discharge, mild cramps or spotting, and a return to routine within a day or two.
A general guide:
| Stage | What to expect |
|---|---|
| Same day | Short recovery-room observation; mild cramps or spotting; usually home the same day |
| 1–3 days | Resume light routine |
| 4–6 weeks | First menstrual response is assessed |
| 2–3 months | Fertility planning may begin, once advised |
Your doctor may recommend measures to keep the cavity open while it heals, and a follow-up hysteroscopy in some cases. Follow the specific advice you’re given.
Yes — pregnancy is often possible after Asherman’s treatment, though the chance depends on adhesion severity, remaining healthy lining and age.
What affects the outcome:
Many women conceive naturally after successful treatment; some benefit from fertility support or IVF. As a general principle, results are discussed as a realistic range for your situation, not a fixed promise. If a past miscarriage led here, please know Asherman’s is common and treatable — outcomes vary by individual.
Pelvic adhesions are scar bands between organs outside the uterus — often after surgery or infection — and are treated with laparoscopic adhesiolysis.
This is a different location from Asherman’s (which is inside the uterus). Pelvic adhesions form between pelvic and abdominal organs, and can cause their own problems:
Many women experience improved comfort and, where the tubes were affected, better fertility after laparoscopic adhesiolysis. Recovery is usually quick — walking the same day, discharge within about 24 hours, and fuller healing over 4–6 weeks.
In Mumbai, hysteroscopic adhesiolysis for Asherman’s ranges about ₹25,000–60,000; laparoscopic adhesiolysis for pelvic adhesions is higher.
Because the two procedures differ, so do their costs:
| Procedure | Approximate cost (₹) |
|---|---|
| Hysteroscopic adhesiolysis (Asherman’s / intrauterine) | ~25,000 – 60,000 |
| Laparoscopic adhesiolysis (pelvic adhesions) | ~50,000 – 1,80,000+ |
The exact figure depends on adhesion severity, procedure time, room category and any additional treatment. At Vardaan Hospital, eligible patients may access cashless and reimbursement assistance, subject to insurance approval. Cost is a range and is finalised after consultation; outcomes vary by individual.
🩺 Dr Dimple Doshi Notes: “Asherman’s syndrome is a uterine cavity problem — but fertility planning should look at the whole picture: the uterus and endometrium, ovulation, the tubes, ovarian reserve, and the partner’s semen report. Treating the adhesions is one important step, and we plan the rest of the journey around it.”
Dr. Dimple Doshi offers uterus-preserving, fertility-focused care for Asherman’s syndrome and adhesions at Vardaan Hospital, Goregaon West, Mumbai.
Full credentials are viewable on the About page.
Ans. Yes. Hysteroscopic adhesiolysis gently releases the scar tissue under direct vision while preserving the uterus. Many women see their periods and fertility improve, though severe cases may need more than one procedure.
Ans. Often yes. Pregnancy is possible after successful treatment, depending on how severe the adhesions were, how much healthy lining remains, and your age. Some women conceive naturally; others benefit from fertility support.
Ans. It’s done under anaesthesia, so you won’t feel pain during it. Afterwards, mild cramps or light spotting are common and usually settle within a day or two.
Ans. Scar tissue can sometimes form inside the uterus after a D&C or other uterine procedure. It’s a known, treatable complication — not something you caused — and adhesiolysis can often restore the cavity.
Ans. In many women, periods improve after the adhesions are released, though this depends on how much healthy lining remains. Your doctor will monitor your first cycles after treatment.
Ans. Yes, re-adhesion can happen, especially in moderate or severe cases. That’s why your doctor may use measures to keep the cavity open and arrange follow-up to check healing.
Ans. Hysteroscopic adhesiolysis treats adhesions inside the uterus (Asherman’s) through the cervix. Laparoscopic adhesiolysis treats pelvic adhesions between organs, through keyhole cuts in the abdomen. They’re different procedures for different problems.
Book an Asherman’s Syndrome Consultation with Dr. Dimple Doshi
If your periods became scanty after a D&C, or you’re facing trouble conceiving or recurrent miscarriage, a consultation and hysteroscopy can clarify whether intrauterine adhesions are the cause — and how to treat them.
