March 11, 2016

• 30yrs old, woman presented with severe dysmenorrhea and heavy bleeding during her periods.
• She had one abortion 1 year back at 8 weeks of gestation and was anxious to conceive.
• Ultrasound: bulky uterus with multiple fibroids.
• Hysteroscopy was done which revealed obliterated uterine cavity due to dense adhesions. Adhesiolysis was done and intrauterine device was inserted to prevent reformation of adhesions. Along with hysteroscopy, laparoscopic Myomectomy was also done in same sitting.
• Second look hysteroscopy was done after one month of first surgery which showed well formed cavity.
• Now, after 8 months of her surgery she has conceived and successfully achieved 3 months of her pregnancy as shown in image below.
• So, hysteroscopy significantly improves the fertility outcomes and treatment success rate of Asherman’s syndrome but requires great surgical expertise.