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What is Uterine Scarring. Intrauterine adhesions, also known as synechiae or scar tissue, are bands of fibrous scar tissue that form within the uterus. Scar tissue affects the functional lining of the uterus and can be a reason for infertility. Your uterus has three layers: an outer layer (serosa), a middle muscular layer (myometrium), and an inner layer (endometrium). The inner layer contains the lining that sheds once a month with a womanâs menses.
The problem is that this tissue behaves like normal endometrial tissue -- it builds up and breaks down with your menstrual cycle -- but it can't be shed like normal endometrial tissue during your period. As a result, endometriosis can cause irritation, inflammation, and the formation of scar tissue. This buildup of tissue can prevent the eggs from getting out of the ovaries or being fertilized by sperm. It can also scar and block the fallopian tubes, preventing the egg and sperm from meeting.