She had a D&C after a miscarriage. Since then, her periods have never been the same — lighter, shorter, sometimes barely there. Nobody connected the two.
What Asherman’s Syndrome Is
Asherman’s syndrome is the formation of scar tissue (adhesions) inside the womb, where the front and back walls stick together. It most often follows a procedure that scrapes the lining — a D&C or evacuation after miscarriage, abortion or delivery — and is more likely when an infection is also present.
Signs to Watch For
- Periods that became much lighter or stopped after a womb procedure
- Cyclical pelvic pain with little or no bleeding — blood may be trapped behind scar tissue
- Difficulty conceiving after a previous pregnancy — see Secondary Infertility
- Repeated miscarriages
Why Ordinary Scans Miss It
A routine ultrasound may look normal, or may only show a “thin lining”. The scarring is best seen by looking inside the womb — a hysteroscopy — or suggested by an HSG or saline scan. If your history fits and you have only had a standard scan, ask about these.
Treatment
Adhesions are usually removed by a gynaecologist during hysteroscopy, sometimes followed by hormonal treatment to help the lining regrow. Outcomes depend on how extensive the scarring is, and some women need more than one procedure.
Where We Come In
After the scar tissue is addressed, the work is rebuilding the soil. We support recovery of the lining, circulation to the womb, and the emotional weight that so often comes with a history of loss — see A Thin Womb Lining.
For Anyone Facing a Future Procedure
If a D&C is recommended, it is reasonable to ask whether other options, such as medical management, are suitable for you, and to ask for gentle technique and follow-up if a procedure is necessary. You are allowed to ask.
If your periods changed after a procedure, tell us your story.
Related Reading
At Ohemaa Fertile Home, we provide guided herbal fertility support rooted in three generations of traditional knowledge. We serve women across Ghana, Nigeria, and the diaspora. Reach out to us on WhatsApp for a free, confidential consultation.
