Hysteroscopic Adhesiolysis in Mumbai

Pelvic adhesions affect millions of women worldwide, with studies estimating that intrauterine adhesions (IUA) occur in up to 20% of women undergoing uterine surgery. In India, Asherman’s Syndrome and congenital intrauterine adhesions are leading causes of menstrual irregularities, infertility, and recurrent pregnancy loss, impacting thousands of women each year. These adhesions can develop due to uterine surgeries, infections, or congenital conditions, leading to complications such as pain, abnormal periods, and reproductive challenges. If left untreated, they can significantly affect fertility and overall quality of life. If you have irregular cycles, unexplained infertility, or difficulty conceiving after previous uterine procedures, Hysteroscopic Adhesiolysis in Mumbai may be the right treatment for you.

What Is Hysteroscopic Adhesiolysis?

Hysteroscopic adhesiolysis is a minimally invasive surgical procedure used to remove intrauterine adhesions (scar tissue inside the uterus). These adhesions can develop due to uterine surgeries, infections, or congenital conditions, leading to menstrual irregularities, infertility, and pregnancy complications. The procedure restores the normal uterine cavity, improving menstrual function and fertility.

What Are the Symptoms of Intrauterine Adhesions?

Light or absent menstrual periods (hypomenorrhea or amenorrhea)
Difficulty conceiving due to a compromised uterine environment
Recurrent miscarriages
Pelvic pain or discomfort
Post-surgical complications following D&C, cesarean sections, or myomectomies

When Is Hysteroscopic Adhesiolysis Recommended?

Doctors recommend hysteroscopic adhesiolysis when:

Menstrual cycles become irregular or stop due to adhesions.
Infertility is linked to intrauterine scarring or blocked uterine cavity.
Recurrent pregnancy loss occurs due to an inadequate endometrial lining.
Adhesions cause pain or interfere with normal uterine function.

How Is Hysteroscopic Adhesiolysis Performed?

Preparation: The procedure is typically performed under local or general anesthesia.
Hysteroscope Insertion: A thin, flexible camera (hysteroscope) is inserted through the vagina and cervix into the uterus, allowing direct visualization of the adhesions.
Adhesion Removal: Specialized surgical instruments, such as microscissors or electrosurgical devices, are used to carefully excise the scar tissue while preserving the healthy uterine lining.
Post-Surgical Management: A temporary intrauterine balloon or hormonal therapy may be used to prevent reformation of adhesions and promote healing.

What Are the Benefits of Hysteroscopic Adhesiolysis?

Minimally invasive: No external incisions, reducing pain and recovery time.
Faster recovery: Most patients resume normal activities within a few days.
High success rate: Restores the uterine cavity, improving menstrual function and fertility.
Lower risk of complications: Compared to open surgical methods.

Is Hysteroscopic Adhesiolysis a Permanent Solution?

While the procedure removes existing adhesions, there is a risk of recurrence. Post-operative care, including estrogen therapy and follow-up hysteroscopies, can help prevent adhesions from reforming.

What Is the Recovery Process Like?

Most women recover within 1-2 weeks after the procedure.
Mild cramping and light bleeding may occur but typically resolve quickly.
Strenuous activities and sexual intercourse should be avoided for at least two weeks.
A follow-up hysteroscopy may be recommended to check for adhesion recurrence.

Will Hysteroscopic Adhesiolysis Improve Fertility?

Yes! For many women, removing intrauterine adhesions significantly improves the uterine environment, enhancing the chances of conception and successful pregnancy. The success rate depends on the severity of adhesions and overall reproductive health.

Are There Risks Associated with Hysteroscopic Adhesiolysis?

While generally safe, potential risks include:

Infection or bleeding (rare)
Uterine perforation (very rare)
Adhesion recurrence requiring further treatment
Temporary menstrual irregularities post-surgery

How Does Hysteroscopic Adhesiolysis Compare to Other Treatments?

Hormonal Therapy: Can help with minor adhesions but is not effective for severe cases.
Watchful Waiting: Small, asymptomatic adhesions may not require immediate intervention.
Surgical Removal: The most effective method for treating severe intrauterine adhesions.

If you are struggling with irregular periods, infertility, or pregnancy complications due to intrauterine adhesions, hysteroscopic adhesiolysis in Mumbai offers a safe and effective solution. Under the expertise of Dr. Maitreyee Parulekar, you can undergo a minimally invasive procedure that ensures precise treatment and faster recovery. Take the first step toward restoring your reproductive health—schedule a consultation today!