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Warning-sign checks

Asherman syndrome: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Seek emergency care for very heavy bleeding, fainting, severe or rapidly worsening pain, difficulty breathing, confusion, or other signs of serious illness.

    These symptoms are not specific to Asherman syndrome, but they can signal a pregnancy or bleeding emergency.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Contact the treating clinician promptly for fever, worsening pelvic pain, foul-smelling discharge, or bleeding that is heavier than expected after a procedure.

    These symptoms may need urgent assessment.

    During pregnancy, urgent assessment is also appropriate for significant bleeding, severe abdominal or pelvic pain, shoulder pain, marked dizziness, or fainting.

  3. 3

    Does any of this apply?

    Book an appointment

    Follow-up is important because symptoms alone do not always show whether the cavity has healed.

    Periods may become heavier after treatment, but this does not prove that all adhesions are gone.

    Likewise, light bleeding does not always mean that treatment failed.

    Routine follow-up may include discussion of:

    • Changes in menstrual bleeding or cramping
    • Results of repeat cavity testing
    • Whether additional treatment is needed
    • Plans for pregnancy or contraception
    • The timing of fertility evaluation
    • Pregnancy monitoring after treatment

The article also says

A clinician may recommend a repeat hysteroscopy or an imaging test after healing begins.

This is sometimes called a second-look procedure.

It can identify recurrent adhesions while they are still relatively thin and may allow them to be treated.

Every sign above is quoted from the sofidex article on Asherman syndrome. If you are not sure, err upward — it is always reasonable to be checked.