Asherman’s Syndrome and Fertility: What You Need to Know to Conceive
Dr. Marika Raff • February 13, 2025
When it comes to diagnosing and addressing challenges related to infertility, it’s important to understand all potential factors that could impact a person’s ability to conceive. One condition that often flies under the radar but can significantly affect fertility is Asherman’s Syndrome.
As a reproductive endocrinologist at Caperton Fertility Institute, I’ve seen firsthand how this condition can create hurdles for patients hoping to build a family. However, with the right diagnosis and treatment, there is often a path forward. Let’s explore what Asherman’s Syndrome is, how it affects fertility, and what options are available to help you achieve your dream of parenthood.
What Is Asherman’s Syndrome?
Asherman’s Syndrome (AS) is a condition characterized by the formation of scar tissue (adhesions) inside the uterus. These adhesions can partially or completely obliterate the uterine cavity, often making it difficult for a fertilized embryo to implant and grow. The condition is typically acquired and is most often linked to trauma to the uterine lining, which can happen after:
- A dilation and curettage (D&C) procedure, particularly following a miscarriage or incomplete pregnancy.
- Uterine surgeries, such as the removal of fibroids or polyps.
- Severe infections, such as endometritis (inflammation of the uterine lining).
How Does Asherman’s Syndrome Affect Fertility?
Asherman’s Syndrome creates several challenges that directly impact fertility:
- Implantation Issues: Scar tissue can significantly reduce the amount of healthy endometrial lining available for an embryo to implant.
- Recurrent Pregnancy Loss: Uterine adhesions can restrict blood flow to a developing embryo, increasing the risk of miscarriage.
- Absent or Irregular Menstrual Cycles: Many women with Asherman’s Syndrome experience light periods (hypomenorrhea) or even a complete absence of menstruation (amenorrhea).
- Difficulty with Assisted Reproductive Technology (ART): Treatments like IVF still require an optimal uterine environment.
Diagnosing Asherman’s Syndrome
At Caperton Fertility Institute, we use advanced diagnostic tools including:
- Hysterosalpingography (HSG): An X-ray procedure that evaluates the uterine cavity and fallopian tubes.
- Hysteroscopy: A minimally invasive procedure to visualize and identify scar tissue.
- Ultrasound: Sometimes used to detect abnormalities in the uterine cavity.
For more information, refer to this medical journal article.
Treatment Options for Asherman’s Syndrome
Asherman’s Syndrome is often treatable. Treatment options include:
- Hysteroscopic Adhesiolysis: A minimally invasive procedure to remove adhesions and restore the uterine cavity.
For more details, check out this study in BMC Women’s Health.
What Are the Next Steps After Treatment?
Once the uterine cavity is restored, many individuals can conceive naturally. Assisted reproductive technologies such as IVF may also be recommended.
Hope for the Future
Asherman’s Syndrome may seem like an obstacle, but advances in diagnostic and surgical techniques have significantly improved outcomes. If you’ve been struggling with infertility, the first step is to schedule a consultation.
Contact us today to learn more about how we can help.
What Is a Semen Analysis? A semen analysis evaluates the health and viability of a man's sperm. This non-invasive test measures multiple parameters that are crucial for successful conception: Volume The amount of ejaculate, with a typical normal range between 1.5 to 5 milliliters. Sperm Concentration The number of sperm per milliliter of semen. A normal sperm count is 15 million/mL or higher. Motility The percentage of sperm that are actively moving. A minimum of 40% motility is generally considered normal. Morphology The size and shape of sperm, assessed using strict criteria. A morphology score of 4% or more normal-shaped sperm is acceptable. pH Level Measures the acidity or alkalinity of semen, with a normal range from 7.2 to 8.0. White Blood Cells Elevated levels may signal infection or inflammation in the reproductive tract. Liquefaction Time Refers to how long it takes semen to liquefy after ejaculation. Normal liquefaction occurs within 20 to 30 minutes. What Do Abnormal Semen Analysis Results Mean? An abnormal result doesn’t automatically mean infertility. Semen quality can vary over time, so further testing is often needed to understand the full picture. Depending on the results, your provider may recommend: Repeat Semen Analysis: To confirm initial findings. Hormonal Testing: Evaluates hormone levels like testosterone, FSH, LH, and prolactin. Genetic Testing: For severely low sperm counts or azoospermia, this can reveal chromosomal abnormalities or Y chromosome deletions. Scrotal Ultrasound: Detects physical issues such as varicoceles or obstructions. Referral to a Urologist: For evaluation and management of urological or endocrine disorders. Tailored Treatment for Male Factor Infertility At Caperton Fertility Institute, we take a holistic and individualized approach to male infertility. Based on your specific diagnosis, treatment options may include: Lifestyle changes to improve sperm health Medical therapies to balance hormones or treat infections Intrauterine insemination (IUI) In vitro fertilization (IVF) with intracytoplasmic sperm injection (ICSI) Schedule a Fertility Consultation Today If you or your partner are considering fertility testing, our experienced team in Albuquerque and El Paso is here to support your journey. Schedule your consultation today to take the first step toward growing your family. Tags: Semen Analysis, Male Fertility, Sperm Count, Infertility Testing, Caperton Fertility Institute, Albuquerque Fertility, El Paso Fertility, IVF, ICSI, Male Factor Infertility
What Are the Most Common Causes of Pregnancy Loss? Miscarriage is more common than many people realize, affecting approximately 10% to 20% of known pregnancies. Most occur during the first trimester, and in many cases, they are beyond anyone's control. Here are some of the leading causes: 1. Chromosomal AbnormalitiesThe most frequent cause of early pregnancy loss is genetic abnormalities during fertilization. These anomalies prevent the embryo from developing normally and are typically not linked to anything the parents did or didn’t do. 2. Hormonal ImbalancesConditions such as polycystic ovary syndrome (PCOS), thyroid disorders, or luteal phase defects can disrupt hormonal support essential for a healthy pregnancy. 3. Uterine or Cervical IssuesStructural concerns, including fibroids, polyps, or a septate uterus, can contribute to recurrent miscarriage or second-trimester losses. 4. Autoimmune DisordersConditions like lupus or antiphospholipid syndrome (APS) may cause the immune system to mistakenly target the developing embryo, leading to pregnancy loss. 5. InfectionsCertain infections, such as listeria, cytomegalovirus, and toxoplasmosis, may increase miscarriage risk if contracted during early pregnancy. 6. Lifestyle and Health FactorsSmoking, heavy alcohol use, and illicit drug use elevate the risk. Unmanaged chronic health conditions like diabetes or hypertension can also contribute. Common Myths About Pregnancy Loss Despite its frequency, miscarriage remains a topic filled with stigma and misinformation. Let’s dispel some of the most common myths: Myth: Stress Causes MiscarriageEveryday stress is a part of life and is not linked to miscarriage. While chronic, extreme stress can affect overall health, it’s not a primary cause of pregnancy loss. Myth: Exercise or Lifting Causes LossModerate physical activity is generally safe and often encouraged during pregnancy. Always follow your doctor’s guidance, but exercise alone is not a known cause of miscarriage. Myth: Miscarriage Is Always PreventableMost miscarriages are caused by genetic or biological factors that cannot be controlled. It is not your fault. Myth: It Only Happens OnceWhile many people experience only one loss, some have recurrent miscarriages, which may signal treatable underlying conditions. Myth: You Must Wait Months to Try AgainPhysically, many individuals can begin trying again after one normal menstrual cycle, though emotional readiness is unique to each person. Always consult with your fertility specialist. You Are Not Alone Experiencing pregnancy loss can feel isolating, but support and solutions are available. At Caperton Fertility Institute, we offer comprehensive evaluations, compassionate care, and advanced fertility treatments to uncover the causes and help guide your next steps. Whether you're in Albuquerque or El Paso, our fertility specialists are here to support your path to parenthood. Contact us today to schedule a consultation. Tags: Pregnancy Loss, Miscarriage, Recurrent Miscarriage, Fertility Myths, Caperton Fertility Institute, Albuquerque Fertility, El Paso Fertility, IVF Support, PCOS, Autoimmune Pregnancy
Embarking on the embryo transfer phase of your IVF journey is a big step, and understandably, patients often ask what they can expect during this important stage. At Caperton Fertility Institute, we take great care in preparing your body to create the most welcoming environment possible for a developing embryo. Here’s an overview of how we prepare you for a frozen embryo transfer, including the medications we use and why they matter. 1. Estrogen Patches to Build the Uterine Lining The first step in the preparation process involves thickening the endometrial lining of your uterus so it can support an embryo. We use estrogen patches for this purpose. These patches deliver a consistent dose of estrogen through your skin, and you’ll typically wear several patches on your abdomen at a time, changed every other day as instructed. Estrogen helps your uterine lining grow to the ideal thickness for implantation. We monitor this closely with ultrasound to ensure optimal conditions. 2. Adding Intramuscular Progesterone Once your lining has reached the right thickness, we introduce intramuscular progesterone injections. Progesterone transforms the uterine lining into a receptive state, mimicking what happens naturally after ovulation. These injections are given daily and are an essential part of making the uterus ready to accept an embryo. While the thought of intramuscular shots can be intimidating, our team will guide you through every step and offer tips to make the process more comfortable. 3. Timing the Transfer The timing of your embryo transfer is carefully coordinated based on your hormone levels and the day your embryo was frozen. For example, if you're transferring a blastocyst (an embryo that developed for five days), we schedule your transfer five days after starting progesterone. Precision is key, and we tailor the timing to closely replicate the conditions of a natural cycle. 4. Day of the Transfer The transfer itself is a quick, gentle procedure that doesn’t require anesthesia. We use ultrasound guidance to place the embryo in the uterus, and many patients describe it as similar to a Pap smear. Afterward, you’ll rest briefly before going home. Supporting You Through Every Phase Every part of the embryo transfer preparation is designed with care and intention. We want to give you the best possible chance for success, and we’re here to support you emotionally and physically throughout the process. If you have any questions about preparing for your embryo transfer or the medications involved, don’t hesitate to reach out. We’re with you every step of the way.