Questions to Ask Your Doctor

Diagnosis Questions:

1. What caused my Asherman’s Syndrome?
   
2. Was this preventable?
   
3. How often does AS occur in women?
   
4. Can scarring be caused by an infection?
   
5. What tests/hormone treatments would you recommend to make a proper diagnosis?
   
6. What severity of Asherman’s do I have? (This and the other questions below assume you have been diagnosed.) What percentage of my cavity is open?
   
7. What type of scarring do I have? Flat scarring (on walls of uterus) or adhesions holding the sides of the walls together? Is the scarring difficult or easy to remove?
   
8. Can you tell if my scar tissue is very dense, calcified or difficult to remove?
   
9. Can you tell if the scarring is covering my tubes? How difficult is it to remove the scarring in this area? Is there a risk of doing irreparable damage to my tubes?
   
10. How is my endometrium? Is it continuous or one that has parts missing?
    
11. How thin or thick is my endometrium?
    
12. What methods would you recommend to increase the thickness or amount of endometrium? Baby aspirin? Viagra? Acupuncture? Herbal treatments?
    

Treatment Questions:

1. How do you recommend treating Asherman's? What type of surgery, hormone treatments, barrier method?
   
2. Are there any treatments or ways in which I can improve my chances of success with overcoming Ashermans?
   
3. If you don’t recommend surgery, what potential problems may I encounter?
   
4. Is there a problem with my cervix being shut if I don’t have surgery? Am I at greater risk of developing endometriosis?
   
5. Is there an increased risk of uterine or cervical cancer if my AS is untreated? How would I know if I had these types of cancer?
   
6. Will my scarring get worse over time? Will it be more difficult to remove in the future?
   

Doctor Background Questions:

1. Have you treated cases similar to mine? As severe? Did these women go on to have successful pregnancies?
   
2. How many Asherman’s patients have you treated (via surgery) in an average year? What types of surgery do you perform most frequently?
   
3. What procedures do you use to avoid uterine punctures?
   

Surgery Questions:

1. If I am a candidate for surgery, how would you handle my case? How do you treat women from out of state/country? Do you work with doctors here in my state/country?
   
2. What will you do if you find the scar tissue is very dense, calcified or difficult to remove?
   
3. Do you use the balloon method or other barrier methods post surgery to prevent the adhesions from reforming? Will you prescribe an antibiotic while the barrier is inside my uterus?
   
4. How long does it take to schedule surgery?
   
5. How long does it take to recover from surgery?
   
6. What post-operative follow-up care do you recommend? When does this occur?
   
7. How many surgeries would I need to correct my Asherman’s?
   
8. How will you know if you have removed all of my scarring?
   
9. What is the average price of surgery? Do most insurance companies pick up these expenses?
   
10. What are the potential side effects/risks of doing surgery? Will my Asherman’s get worse?
    
11. Is there a risk you would need to perform a hysterectomy?
    
12. What instrument will you be using in my surgery? I understand that there are three types that are typically used, micro scissors, yag laser, and resectoscope (electrocautery). Please explain the benefits and risks of the type of instrument that you will use during my surgery. Is one of the above mentioned instruments safer than another?
    

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