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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.
Over time, cyclic inflammation causes the scar tissue and adhesions to build up around the lesion, giving the impression of the lesion increasing in size. These may cause their own issues, such as organs which are bound together or anatomy that is moved out of place. Some women do not realize they have endometriosis until they try to become pregnant. Approximately 30-40% of women who have endometriosis experience issues with their fertility.