Trish, the diagnostic standard for AS is a hysteroscopy--NOT an SHG. The SHG gives good information about your lining, but not about adhesions. I am not saying that you have AS, just that that would not normally be considered the way to diagnose it. An SHG or an HSG (another type of x-ray) are both useful tools but they do not give the information that a hysteroscopy does.

It can be normal after any curette to have lighter AF. Elective curettes are done for women with heavy bleeding problems just for that reason. That is why no doctor will jump in and say "you have AS" without further investigation.

AS is uncommon, but everything we know about it indicates that it is underdiagnosed. Many women are happy to end up with light AF and if they are having only 1 or 2 children there may never be any investigation done...it is usually not an issue unless a) the woman has no AF and is in pain, or b) she is trying to conceive. With a mild case, a woman may be able to conceive, but there are other issues at delivery. Sadly, many women are referred on to IVF or told that children will never be an option, rather than having the underlying problem addressed.

Of course some women have fertility issues and need an IVF referral anyway. Often they know about that before the AS diagnosis.