In this episode, Dr. Lucky Sekhon is joined by gynecologic surgeon Dr. Leigh Rosen to unpack Asherman's syndrome, also known as intrauterine adhesions. Together, they explain how scar tissue can develop inside the uterus after procedures like D&Cs, cesarean deliveries, fibroid surgery, or pregnancy-related complications, and why this often-overlooked condition can lead to infertility, recurrent miscarriage, implantation failure, lighter or absent periods, and pregnancy complications. They break down the difference between intrauterine adhesions and Asherman's syndrome, why the condition is frequently missed, and how hysteroscopy remains the gold standard for diagnosis.
The conversation also explores what treatment actually looks like, from delicate hysteroscopic surgery to postoperative hormone therapy. They discuss why repairing the uterine lining often requires patience, multiple procedures, and close collaboration between fertility specialists and surgeons.
Follow Dr. Leigh Rosen - @leighrosenmd
IF YOU’RE TEXTING YOUR FRIENDS LIKE...
You:
Wait... my periods got way lighter after my D&C. Is that normal??
Also You:
My embryos are healthy... so why won't they implant???
3AM You:
Could I have scar tissue in my uterus and not even know it???
IF YOUR GOOGLE SEARCH HISTORY LOOKS LIKE THIS…
- What is Asherman's syndrome?
- What are intrauterine adhesions?
- Can a D&C cause infertility?
- Why did my periods get lighter after a miscarriage?
- Can uterine scar tissue cause IVF failure?
- How is Asherman's syndrome diagnosed?
- Can uterine scar tissue be removed?
- Can you get pregnant after Asherman's syndrome?
- Can an IUD cause Asherman's syndrome?
- What causes recurrent implantation failure?
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