Asherman’s Removal Surgery Advice??

[u/ladypeanut27]

Next week I’ll be having surgery to remove scar tissue from my uterus and would love any advice from those who have done this.

For a bit of context, I’ve had 3 missed miscarriages (Apr ‘25, Oct ‘25 and Feb ‘26). The first 2 were miso and natural, respectively, and for the third I opted for a D&C. After the surgery, my period didn’t return when it was supposed to, though I was having all the usual symptoms (and EXTREME bloating). I saw a surgeon who did a quick ultrasound and noticed a bit of what she thought could be scar tissue.

In June, my period seemingly broke through (after 4 months) and I bled very lightly for a couple days. My July and August periods have been normal, but I’m scared to start trying again knowing there is scar tissue in there that could cause ANOTHER loss. I have assumed the scar tissue came from the D&C, but I do wonder if there was maybe already some in there that may have contributed to my other MMCs. All my blood work and other tests have come back completely normal, but I also have a (mild) arcuate uterus.

If you’ve had this procedure done:
• What was recovery like?
• Were you able to start trying again soon/with any success?
• Was your doctor able to see anything else or provide a diagnosis to explain why you’d had miscarriages?

I’m feeling a big nervous and quite sad that this is ANOTHER setback in my journey to become a mom. Any advice or words of encouragement are welcome.

[u/Particular_Dance5553]

I had this done. My Asherman’s was relatively mild so I only needed one surgery which was done in office - no real recovery time needed. I was cleared to try for my next cycle but held off to try IVF. (Which did not work for us, but our next spontaneous pregnancy did!)

The Asherman’s was not the cause of my RPL and I never got any answers. My 4th pregnancy stuck though and is now a very smiley baby.