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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.
Lower abdominal and pelvic surgeries carry a greater adhesion risk, and these scars can get bigger over time. For women, scar tissue can also lead to fertility problems. Adhesions can prevent fertilized eggs from reaching the uterus, and they increase the risk of ectopic pregnancy.