Advice/experiences of Asherman"s syndrome

[Este67]

I've recently experienced a MMC at 8 weeks and I'm trying to find answers. I have been reading the medical notes from a laparoscopy and hysteroscopy I had in September 21. In the notes, the surgeon says there is no evidence of endometriosis but I had a polyp removed and a small fibroid. She also said I have a very thin bands of adhesions extending from the anterior wall of the sigmoid colon to the posterior wall of the uterus. She also told me I had a thin endometrium but that this was a good thing.

I had a termination when I was 19 (I'm 34 now) but went on to resume normal periods following the procedure. I began experiencing light periods after coming off the pill when I was 31 and started having pelvic pain at 33 hence the lap. From what I've written does it seem likely I could have Asherman's disease and this is what caused the miscarriage? If so, surely the surgeon should have told me this last Sept rather than leading me to believe everything was fine?

Hello OP,

I don't think anyone can tell you based on just what you said whether you have Asherman's or not. My understanding is that Asherman's would prevent implantation, so if you had a loss at 8 weeks that would suggest that whatever happened (most likely genetic issues, as this is the n°1 cause of miscarriage) is not due to Asherman's. Also surely if it was Asherman's the scarring would be inside the uterus only, not on the colon ?

Is there any chance you can ask the hospital and/or surgeon who did the procedure for clarification as to what the scarring looked like and what they thought might have caused it ? Presumably if he thought it could be Asherman's he'd have said so.

In your place I think I'd start by trying again. If it doesn't work and/or you suffer another loss, then I would pursue it further (but I'd then be looking at all possible causes at the same time just to cover all the fronts).

@Marty13 Thank you for your response, I have sent a list of questions to the hospital to get some clarity on the situation. I think I'm possibly clutching at straws but I just feel desperate for some kind of closure/understanding and don't seem to be able to accept it as just one of those things.