
A health official examines a woman before providing ART services at a fertility centre. PHOTO/PROMISE TWINAMUKYE
I have only one child, but after trying unsuccessfully to have a second child for a while, I underwent X-rays that indicated I have Asherman's syndrome. The doctors are recommending surgery, but I would prefer to avoid it. Are there any medications that could? Anita
Dear Anita,Asherman's syndrome is a condition characterised by the formation of scars (adhesions) inside the uterus, which can severely limit or even eliminate the space available for a fertilised egg to implant and grow. This can lead to infertility.
In Uganda, many individuals blame the use of an intrauterine contraceptive device (IUCD) for causing this condition.
However, the primary causes are often related to abortions, infections, especially those following abortions, or procedures such as cesarean deliveries and certain treatments directed at the uterus, including radiation.
Although this condition primarily affects women of childbearing age, many may experience few or no symptoms.
Indicators of Asherman's syndrome can include light or absent menstrual periods and difficulties in conceiving or maintaining a pregnancy.
For many women experiencing these issues, surgery to remove the adhesions may be beneficial, which is likely why your doctor has recommended surgical treatment for you.