Trying To Get Pregnant Naturally? A D&C May Cause Scarring and Affect FertilityEver heard of Asherman's syndrome? It can be caused by a previous D & C which can be done for a number of reasons from heavy bleeding to an incomplete miscarriage.
From the article:
Asherman's syndrome is a type of adhesion - where bands of scar-like tissue form inside the body between two surfaces, causing them to stick together. Adhesions are a common problem, affecting 93 per cent of patients who undergo surgery.
All the abdominal and pelvic organs - which are most susceptible to adhesions - are wrapped together in a clear membrane, the peritoneum. When this is traumatised either by infection or surgery, it triggers an inflammatory response, stimulating the growth of fibrous scar tissue. Asherman's is the term given to adhesions in the womb.
The problem is triggered by a dilation and curettage (D&C), a standard procedure used to clear the womb after a miscarriage, or when the placenta is retained after childbirth or a termination, says Adrian Lower, a consultant gynaecologist and one of only a handful of Asherman's specialists in the UK.
An ultrasound revealed parts of the placenta had embedded into Sophie's womb. Left untreated, it could lead to serious infection
He says: 'During the procedure, a spoon-shaped instrument [a curette] is used to scrape the uterus lining.
'It's thought that Asherman's occurs when this is done too forcefully,' he says. Around 100,000 procedures are carried out each year, with five per cent resulting in Asherman's.