Is surgery necessary for intrauterine adhesions?

Asherman's syndrome refers to adhesions (scar tissue) forming between the walls of the uterine cavity following damage to the endometrium. It commonly occurs after repeated miscarriages, uterine procedures, or infections. This condition may affect a woman's menstrual cycle and fertility. The treatment approach for intrauterine adhesions generally depends on the extent of the adhesions and the patient's symptoms. 1. Mild adhesions: If the adhesions are mild and there are no significant menstrual irregularities or fertility issues, improvement may sometimes be achieved through medication, conservative management, and complementary traditional Chinese medicine treatments. 2. Moderate to severe adhesions: When adhesions are extensive and cause symptoms such as decreased menstrual flow, pain, or infertility, surgical intervention is usually necessary. Hysteroscopic surgery is a commonly used technique, allowing for the visualization and separation of adhesions to restore the normal uterine anatomy. 3. Postoperative prevention: After surgery, intrauterine devices (IUDs) or medication may be used to prevent recurrence of adhesions. Patients should fully understand their condition and discuss all available treatment options with their doctor, including the risks and benefits associated with surgical intervention.