Dr Jasdev Singh
Treatment of Intrauterine Adhesions / Asherman Syndrome
Scar tissue inside the womb can cause light or absent periods, miscarriage or difficulty conceiving. Hysteroscopic surgery removes it so the lining can recover.
Hysteroscopic Surgery
Removing scar tissue so the womb lining can recover
Intrauterine adhesions are bands of scar tissue inside the womb. When they cause symptoms, the condition is called Asherman syndrome. It often follows a procedure to clear the womb after miscarriage or birth, or an infection.
Finding out that scarring may be affecting your fertility is upsetting. Careful surgery can often restore the shape of the womb.
Dr Jasdev removes adhesions precisely and plans steps to lower the chance of them returning.
Careful assessment before surgery
Scans, symptoms and past operations are reviewed, so surgery is only suggested when it is likely to help.
Fertility kept in mind
If you hope to conceive in future, surgery is planned to protect your womb, tubes and ovaries as far as possible.
Clear recovery guidance
You will know what recovery involves, when to return to normal activities and when your review is due.
What this treatment gives you
- Removal of scar tissue under direct vision
- Steps to help prevent scarring returning
- A plan to support the lining before pregnancy
How your care is planned
Each stage is explained so you know why surgery is being considered, what it involves and how recovery will go. You can take time to decide.
Confirm scarring with hysteroscopy or a saline scan
Divide the adhesions carefully by hysteroscopy
Support healing and check the womb again
How treatment works
Under anaesthetic, a hysteroscope is passed into the womb and the scar tissue is carefully divided with fine instruments. Hormone treatment may be given afterwards to help the lining regrow. A repeat hysteroscopy is often advised a few weeks later to check for new adhesions. If any have formed, they can usually be released more easily at that stage.
Who may benefit
Women with very light or absent periods after womb surgery, recurrent miscarriage, or infertility linked to scarring found on hysteroscopy or scan. It also helps women who have had repeated procedures on the womb and are worried about scarring.
What to expect
Most women go home the same day. More than one procedure may be needed for severe scarring. Your periods are watched closely over the following months, as a return of normal flow is a good sign of healing. You will be advised when to try for pregnancy or start fertility treatment.
How Dr Jasdev works with you
He combines surgical and fertility experience, and he explains each option plainly, including when surgery may not be needed. Plans follow current evidence and your hopes for the future. You will have time to ask questions before anything is decided. Women see him from Kuala Lumpur and across Malaysia, and some travel from neighbouring countries.
What to bring to your appointment
These records help Dr Jasdev plan surgery safely and answer your questions fully. If you cannot find everything, bring what you have.
- Details of previous womb surgery or infections
- Hysteroscopy or scan reports
- A record of your periods since the problem began
What women often ask
Surgery brings natural worries about safety, recovery and fertility. These common questions can help you prepare.
How did the scarring happen?
Will my periods return to normal?
Can I get pregnant afterwards?
Will I need more than one operation?
Your questions about Asherman syndrome
What is Asherman syndrome?
It is scarring inside the womb that causes symptoms such as light or absent periods, miscarriage or infertility.
Who is treatment suitable for?
Women with confirmed or suspected scarring after womb surgery or infection, especially with period changes or fertility problems.
What tests are needed first?
A hysteroscopy or saline scan to confirm and map the scarring. Hormone tests may be done to rule out other causes of absent periods.
Is it painful or risky?
The surgery is done under anaesthetic. Risks include bleeding, infection, injury to the womb and the scarring returning. Any pregnancy afterwards needs careful monitoring.
Why see Dr Jasdev for this?
He treats scarring carefully with future pregnancy in mind, and plans repeat checks to protect the result.
How do I book?
Call or WhatsApp the clinic, and bring details of any previous womb surgery.
This page is general information and does not replace a consultation. Whether surgery suits you, and its risks, recovery and alternatives, should be discussed with Dr Jasdev based on your own history.
Get scarring in the womb properly treated
Book a consultation to discuss treatment.