These pages contain information to help you prepare for your initial consultation or surgery and also gives answer any questions you may have about the procedures we offer at the Asherman’s Surgical Centre

Preparing for your consultation

It is most helpful if you can provide a timeline of your medical history and send it to us prior to your consultation. Useful information includes:

How old you were when your periods started, what the pattern was like, how heavy and how any days they lasted.  

How heavy the periods are now and whether there is any pain and the nature of the pain.  Is it cyclical? 

Dates of any surgical interventions or deliveries.  How long you breast fed for and when did your periods return, if at all. 

Previous investigations

A sample is included here as a guide.

Try to arrange initial consultation in midcycle if menstruating as the endometrium will be at its thickest and this is the best time for 3D scan

What to expect in your consultation

Your initial consultation will include your doctor taking a careful history, clarifying any points on your timeline and confirming the nature of the problem and what assistance you require. Where possible we will also perform a transvaginal ultrasound scan and may need to do some blood tests.

Daycase hysteroscopy

Daycase hysteroscopy or operative hysteroscopy is used for the initial treatment of Asherman’s syndrome. It is performed under general anaesthetic and in our hands also under ultrasound and X-ray control to reduce the risk of uterine perforation or false passage creation. More information is available on the link above.

Office hysteroscopy

Office hysteroscopy is performed in our consulting rooms under local anaesthesia. Please follow the link above for further information. Office hysteroscopy is ideal for women who are able to tolerate internal examinations and scans very well and are often used as a proof of cure or to divide minor recurrent adhesions.

Platelet Rich Plasma Infusion

PRP infusion is a novel technique where a woman’s own platelets are separated from a sample of blood and resuspended in the plasma and instilled into the womb. The platelets contain many different growth factors and have been shown to improve endometrial thickness and implantation rates in some patients. Further details are availed on this link.