Re: - repeat breaking up of scarring

[Guest guest]

Hi Gwen,

I guess I am a little confused. If he doesn't use a hysteroscope, how did he remove the original adhesions? gynecoradiologic technique? What exactly is this as I have never heard before? I am interested...how did this technique get your original scar tissue out? I remember that your uterus was completely scarred correct? I thought the best method for the original surgery (for moderate to severe Ashermans) was to go in hysteroscopically and remove the adhesions with clean snips of a microscissor. Did you have this done? If not, then why? I am curious, because I know you have a good doctor, and I am interested in the different techniques these doctors use.

Also, with regard of hysteroscopies overstressing the cervix, Dr. Indman was quite proud of his very small hysteroscope (only 5 mm) that he uses for the office. I think this way he can avoid overstressing the cervix. He also doesn't give any pain killers for the procedure except for a small injection into the cervix area. So you can imagine, it is not very stressfull at all.

I hope you get a good plan of action on Thursday and I hope it works!!! When you get checked and if you have scarring, try to see if he can tell how much endometrium you have and where it is located. (I know you know all this, but let us know because we are concerned)

I know that u/s doesn't give you much information, but some is better than nothing and it might give you some encouragement before the holidays. And even if he doesn't see much in the uterus, you can't be too alarmed. I remember that Dr. Indman saw a very small strand of endometrial lining at the top of my uterus and he thought this looked very encouraging. Then when he went in during surgery he saw that 40% of my uterine cavity had normal endometrium (not a small strand)...and the ultrasound couldn't pick this up. It seems that the u/s picks up less endometrium then is really there, but I am not sure about this.

I hope the best for you tomorrow. Unfortunately I won't know how it turns out until I return in January...good luck and I hope the best for you! Have a nice holiday and enjoy taking a break from all this. Your daughter deserves it!

: Thanks for the idea...I will check it out withmy doctor on Thursday, he doesn't use a hysteroscopeexcept for cases of very severe adhesions because hefeels the stress on the cervix of repeated use of ahysteroscope is best avoided. He does do "office"breakup of scarring using gynecoradiologic technique,that is how my scar tissue was originally removed. Gwen