Asherman’s syndrome is a rare yet significant fertility issue that requires specialized attention. Many individuals may experience difficulty conceiving or face recurrent miscarriages without realizing they have this condition. “Often, Asherman’s syndrome goes undetected because it’s not routinely identified during standard check-ups or imaging tests,” a TFP consultant notes. At TFP Fertility UK, we go beyond basic ultrasounds to investigate the condition of the uterus, ensuring it is prepared for a potential pregnancy.
What is Asherman’s Syndrome?
Asherman’s syndrome involves the formation of scar tissue inside the uterus, often resulting from surgical procedures like those performed after a miscarriage or abortion. This buildup can lead to lighter or absent menstrual cycles, infertility, or repeated miscarriages.
A Journey of Hope for Emma and Mark
When Emma and Mark came to TFP Fertility UK, they were navigating a challenging fertility landscape. “Emma had a strong sense that something was off,” recalls the consultant. After a surgical intervention for a miscarriage, Emma’s menstrual cycle changed drastically, and they struggled to conceive again. Following an ectopic pregnancy, where she lost her second fallopian tube, local hospital tests yielded inconclusive results.
Despite becoming pregnant again, the pregnancy ended up being ectopic as well, leading to further complications. “The hospital suggested we might want to consider surrogacy or adoption instead of IVF,” Emma explains. Determined to find answers, Emma researched her symptoms online and suspected Asherman’s syndrome. “They had done their homework and were keen to be understood,” the consultant concurs. Seeking a fresh perspective, they turned to TFP for help.
“Emma and Mark were unwilling to abandon their dream of starting a family,” the consultant emphasizes.
How is Asherman’s Syndrome Diagnosed?
While a basic ultrasound can hint at Asherman’s syndrome, more specialized imaging techniques are necessary for a thorough evaluation. A hysteroscopy or saline infusion sonogram provides a clearer view of the uterus, allowing for a comprehensive treatment plan.
Uncovering the Truth
After attending an open evening at TFP Oxford Fertility Clinic, Emma and Mark met with their consultant to discuss the next steps. They decided to investigate whether Asherman’s syndrome might be contributing to their fertility struggles. “We also considered the possibility of Emma having a bicornuate uterus, which can also affect fertility,” the consultant shares.
To gain clarity, they were referred to TFP’s Harley Street clinic, where they consulted with Mr. Smith, an expert in diagnosing and treating Asherman’s syndrome.
Step 1: Mapping the Uterus
The first step involved an advanced imaging technique called a hysterosalpingogram (HSG), which uses a colored dye to map out the uterus. “This helped us visualize where the scar tissue was located,” the consultant explains.
Step 2: Confirming Asherman’s Syndrome
The results revealed that nearly 50% of Emma’s uterus was affected by scar tissue, leading to a diagnosis of Asherman’s syndrome. “The scar tissue could be distorting the uterus, which aligned with earlier indications of a ‘heart-shaped’ uterus,” the consultant notes.
Step 3: Receiving Appropriate Treatment
The imaging indicated that the scar tissue could be surgically removed, enhancing Emma and Mark’s chances of a successful pregnancy. “The good news was that the scar tissue was manageable. It was oriented vertically, making it easier to excise.”
Beginning IVF with TFP Fertility
Following a successful surgery to remove the scar tissue, the couple obtained NHS funding for IVF at TFP Oxford Fertility. Emma reflected, “Looking back, it all unfolded quickly. I had the surgery in early June and began IVF by the end of July.” Initially anxious about the egg retrieval process, they ended up extracting nine eggs and fertilizing six using intracytoplasmic sperm injection (ICSI). After five days, they were ready to transfer one blastocyst. “That little embryo carried so much hope,” said Emma.
Celebrating the Arrival of Baby Lucy
Emma and Mark’s pregnancy journey, much like many others facing Asherman’s syndrome, had its ups and downs. “You feel hopeful but also anxious about what comes next,” Mark shares. Fortunately, their pregnancy progressed beautifully, and they welcomed baby Lucy nine months later.
“I’m thrilled that our expert team was able to diagnose and treat Emma’s condition, leading to the arrival of baby Lucy,” remarks the consultant. “Achieving this against all odds was truly remarkable.”
Reflecting on their experience, Emma states, “Never accept the first diagnosis. Persistence is key.” She adds, “We greatly valued our communication with the TFP team, which gave us more control and access to everything via the patient portal. After being told having a child of our own was nearly impossible, achieving this miracle felt surreal.”
Looking for Guidance?
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Summary
Asherman’s syndrome is a significant yet often undiagnosed fertility condition that can impact a person’s ability to conceive. A thorough evaluation and specialized care can lead to successful treatment and, ultimately, a successful pregnancy. Emma and Mark’s story highlights the importance of persistence and seeking expert advice in overcoming fertility challenges.