Another Update...and Questions

[Guest guest]

I have another question. As I stated in an earlier post, I had an

HSG about 2 weeks ago. The doctor that did the HSG said that

everything was completely " normal " and that even though he couldn't

get the dye in to my right tube, (he said it was due to the recent

operatative hysteroscopy) he was confident that everything

was " normal " . I picked up the films from the test and brought them

to my RE. I spoke with her last night. It turns out that my uterus

is still very scarred on the right side. The manner in which it is

scarred makes the shape of my uterus look completely normal (which is

why I think the doctor said small but normal). She suggested that I

have another hysteroscopy to have the rest of the scar tissue

removed. However, I could still get pregnant and have a normal

pregnancy even if I don't. Is this true? I am having the films sent

to Dr. Indman to see what he has to say...but I guess my question

would be why would I go through another hysteroscopy if I can get

pregnant and have a normal pregnancy?

My husband and I were so disappointed to hear this news after getting

the green light.

Thanks for your help!

Suzanne

[Guest guest]

Hi Suzanne. You probably can get pregnant....maybe just less of a chance per cycle if half of your uterus is compromised. Not as much healthy area for a successful implant. Also...do you know what the healthy side measures? My Dr. always said that if an egg does implant, it will break up adhesions as your uterus grows and stretches. I also had a small area of scarring remaining after my 3rd surgery, but we opted to get everything clear just to be sure, and so we wouldn't go through months and months of ttc and then deciding to have the surgery at a later date. Good luck w/whatever you decide.

cheryl

[Guest guest]

Hi Cheryl,

Thanks for the information. My lining measured about 6mm after I had

the surgery. I think that if Dr. Indman recommends we have another

operation we will go through with it, I just wanted to understand

what would happen if I did get pregnant before, or if I even could

get pregnant. Probably would be better to start with a clean slate.

Thanks!

Suzanne

[Guest guest]

Suzanne- I'm so sorry you didn't get the news you wanted to hear!

I think it is certainly possible for you to get pg again- but it also may lead to a series of losses- the baby can't implant correctly on scar tissue- I'd wait for the second opinion from Dr Indman- and have the Hysteroscopy- why risk another loss- and possibly another D & C!- just my humble opinion!

"I know God won't give me anything I can't handle, I just wish he didn't trust me so much"

-Mother

, Mike, Brenna (VSD, PS- open heart surgery 1/29/98--- typical 3 1/2YO- YIPES!), Baby Angel born too early 11/7/00, and Riley and Snoozer the dogs

Join us again next year in remembering the millions of people affected by CHD on 2/14/2002: "A Day for Hearts: Congenital Heart Defects Awareness Day!"

[Guest guest]

Suzanne: Oh my, that must be very frustrating.....to be told all is

great and then be told it's really not. Ugh!!

Well, I think your doctor is right in some ways....you MAY be able to

conceive and carry even with your right side still scarred. The key

word in that sentence being MAY. I was in the same situation. After

my second hysteroscopy (my first with Dr. Valle) my HSG films came

back showing an open cavity that was slightly smaller than usual and

it turned out MY right side still had an adhesion band in it.

Dr. Valle ABSOLUTELY recommended removal of this last bit of scarring

before attempting pregnancy in order to give us the best chance

possible. Here's why: When you have scar tissue blocking one side

of your uterus you are quite literally reducing the " surface area " of

your uterus. You simply have less " surface " space onto which an

embryo could implant, a placenta could develop etc....

Although getting pregnant with scarring still in your uterus is not

impossible, you would be reducing your chances of having a healthy

full-term pregnancy. Getting pregnant with scarring could lead to

poor (or no) implanation, poor placental development leading to

miscarriage, placenta previa, placenta acreta....all of these

conditions are often contributed to by having scar tissue present in

the uterus during pregnancy.

SOOOO, as your doctor says, you MAY be able to get pregnant even with

that scar tissue in place....the question is, do you want to take

that chance? Do you want to have LESS THAN the very BEST chance

possible to have a good outcome? Does your need for a pregnancy NOW

outweigh your need for the best shot at a healthy outcome? That's a

decision only you and your DH can make....and depends on how much

risk you are willing to take, and how much surgery you are willing to

undergo. Can you afford another surgery? Will it be paid for? Can you

take the time off of work?

For me, it was a " no-brainer " and I scheduled another surgery the

very day my HSG came back showing I still had scarring. But that is

me and not you.....you do what's best for you. Just wanted to give

you some things to think about.

Best wishes in making your decision and let us know what you decide.

Thinking of you!

Gwen

[Guest guest]

Thank you for the advice. I certainly do not want to lose another

one. The more we think about it, the more likely we will have the

second surgery.

Thanks again!

Suzanne