Hysteroscopic adhesiolysis is a minimally invasive procedure used to identify and carefully remove scar tissue or adhesions inside the uterus. These adhesions, sometimes called intrauterine adhesions or Asherman syndrome, may develop after procedures involving the uterus, infections, or other conditions. They can sometimes affect menstrual patterns, fertility, or the ability of an embryo to implant normally.
How Is Hysteroscopic Adhesiolysis Performed?
During the procedure, a thin instrument called a hysteroscope is gently passed through the vagina and cervix into the uterus. This allows the gynaecologist to directly examine the uterine cavity. Specialized instruments may then be used to separate or remove adhesions while aiming to preserve healthy uterine tissue.
Who May Need This Treatment?
Your doctor may recommend hysteroscopic adhesiolysis when uterine scar tissue is suspected or confirmed through evaluation. Symptoms and concerns may include unusually light or absent periods, difficulty conceiving, recurrent pregnancy-related concerns, or abnormalities identified during fertility or uterine assessment.
Benefits and Recovery
Removing significant intrauterine adhesions may help restore the shape and function of the uterine cavity. Recovery varies depending on the extent of adhesions and the treatment performed. Your doctor may recommend follow-up assessment to evaluate the uterine cavity and discuss further fertility or reproductive planning.
A personalised evaluation is important because the cause and severity of uterine adhesions differ from patient to patient.

