What causes Ashermans Syndrome?
The short answer is, there is no single cause but rather a number of them that seem to contribute to the development of Asherman’s. Asherman’s appears most frequently in women who have had a “D&C” (dilation and curettage) for the removal of retained placenta after birth of a child, to clear the uterus after miscarriage of a child, or for purposes of aborting a pregnancy. Performing a D&C on a “recently pregnant” uterus often result in the development of Asherman’s Syndrome, but not always. The prevalent theory is that a D&C on a recently pregnant uterus will cause Asherman’s only in cases in which the D&C is “overly aggressive” which is any case in which the doctor performing the procedure scrapes the uterine walls with too much force. Because a post partum uterus is very soft and fragile, D&C’s should be performed as gently and carefully as possible which unfortunately doesnt always happen. The risk of Ashermans also seems to be increased by the use of a sharp instrument to perform a
