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02 April, 2023
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Astra ambulatory surgery centre offers hope for cases of recurrent severe Asherman’s syndrome reducing the need for surrogacy and allows patients to carry their own offspring.
Asherman’s syndrome is significant pathology affecting the uterine cavity where adhesions between the uterine walls develop as a result of damage to the lining of the uterus and its underlying muscle layer. Such damage occurs as a result of uterine surgery or infections. The functionality of the uterus as the organ hosting the pregnancy will be compromised because of these adhesions . Depending on the degree and location of these adhesions, symptoms can vary from lighter periods or no menses to infertility or repeat miscarriages.
Surgery to correct Asherman’s syndrome requires fine expertise especially when the anatomy is significantly distorted. Ideally, it should be done with the mini hysteroscope starting at the cervical opening and making your way up to the uterine cavity using hysteroscopic scissors to divide encountered adhesions of different types and densities. Ultrasound done simultaneously through the abdominal wall can also help guiding the surgery in extremely difficult cases.
Maintaining a functional uterine cavity and preventing recurrence of adhesions can be more difficult task than the original surgery dividing the adhesions. Patients may need multiple hysteroscopic assessments in the office during the follow-up where dividing fresh recurring adhesions is much simpler. In cases where adhesions recurrence is stubborn , adjuvant therapies can be used including the use of platelet rich plasma (PRP) and autologous stem cells injection. The latter can be promising and is offered as experimental protocol which is applied under strict research protocols.
At Astra we are fortunate to have surgeons with vast experience treating patients with Asherman’s.
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What Our Patients Say
I am very fortunate to have Dr. Michael. I had severe amania issue due to fibroids and my previous Dr.… Continue reading Astra ambulatory surgery centre offers hope for cases of recurrent severe Asherman’s syndrome reducing the need for surrogacy and allows patients to carry their own offspring.Show more
I am very fortunate to have Dr. Michael. I had severe amania issue due to fibroids and my previous Dr. wasted the whole year and failed to offer me an appropriate treatment till I was referred to Dr. Michael by my family Dr. He is very patient and kind explained my issues and also he was right away to let me know the next step for the treatment. He did surgery for me and I am recovering well. Thank you very much , Dr Michael.
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I am so lucky I met Dr. Michael, I was told by a previous doctor that there’s nothing wrong with… Continue reading Astra ambulatory surgery centre offers hope for cases of recurrent severe Asherman’s syndrome reducing the need for surrogacy and allows patients to carry their own offspring.Show more
I am so lucky I met Dr. Michael, I was told by a previous doctor that there’s nothing wrong with me. When I attended this clinic, the diagnosis of my condition and why I wasn’t conceiving was so detailed. Dr Michael and his staff put a lot of effort to give patients the best results.
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Dr. Michael is SO kind and has lots of understanding and sympathy for his patients, I visited him to treat… Continue reading Astra ambulatory surgery centre offers hope for cases of recurrent severe Asherman’s syndrome reducing the need for surrogacy and allows patients to carry their own offspring.Show more
Dr. Michael is SO kind and has lots of understanding and sympathy for his patients, I visited him to treat my Asherman ( uterus adhesion), while other Drs avoided treating me and told me my adhesion is not treatable, Dr. Michael treated me by hysteroscopy and the whole procedure took 5 minutes or less, he is kind and also confident about the job he is doing, I know so many women visited him to treat their Asherman and I learned it from the Facebook Asherman support group, I am so happy visited him
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I’ve been going to Astra for a while now and after some failed IUIs I’m doing an ivf cycle (praying… Continue reading Astra ambulatory surgery centre offers hope for cases of recurrent severe Asherman’s syndrome reducing the need for surrogacy and allows patients to carry their own offspring.Show more
I’ve been going to Astra for a while now and after some failed IUIs I’m doing an ivf cycle (praying it works). I speak mostly to Sarah and manpreet (ivf nurses) who are super sweet. I always have a million and 1 questions that they always answer. I’m reading some of the reviews below and I’m super shocked! My experience has been super pleasant with the staff 🙂
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Dr. Michael and his entire staff are wonderful people. I would recommend his clinic to any one. He is honest… Continue reading Astra ambulatory surgery centre offers hope for cases of recurrent severe Asherman’s syndrome reducing the need for surrogacy and allows patients to carry their own offspring.Show more
Dr. Michael and his entire staff are wonderful people. I would recommend his clinic to any one. He is honest and very helpful about his fertility approach. Make the time, spend the money and invest. Be patient and it would happen. PUSH- pray, until, something, happens. The short receptionist upstairs I call her the busy lady – she is very nice- the ultra sound lady that dresses in her Doctor coat is extremely wonderful. I am an attorney at law and I fully endorse this clinic. My husband who is also a lawyer loves DR. Michael’s approach. I remembered the morning I needed to attend a murder trail and my busy body receptionist assisted me and fitted me in . God bless them all.
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