oops forgot something & a question

[Guest guest]

Oops, Poly, you asked if I was having a barrier of some kind as part of

my surgery (when it happens, which I still don't yet know.) The answer

is yes, Dr. March did plan to use some kind of barrier, but didn't know

which kind until he gets in there.

I have a question. I noticed a lot of women referring to the doctors who

performed the D & C's that resulted in Ashermans as butchers. When I was

diagnosed with my Ashermans, I asked my girlfriend who herself is an OB

if my doctor did anything wrong and she said no, that I just had

unfortunate luck. Do you guys disagree? Is the general thinking that

the doctor screwed up???

I have loved my doctor and he got me through a very high-risk pregnancy

so I would need to make a decision not to go forward with him again.

thanks for your help.

[Guest guest]

Caryn: About your question about doctors causing Asherman's and the

term 'butcher'. Well, there appear to be a good number of women who

develop Asherman's after an overly aggressive D & C. That is, a D & C

that is too " rough " and removes too much of the endometrial layer due

to " over-scraping " of the uterine wall. This seems to be especially

true in cases in which doctors use sharp instruments to perform the

D & C instead of blunt-ended suction.

In other cases, however, (like mine I believe) the doctor seems to

have done nothing wrong at all, performing a very gentle D & C using

suction only or at least a blunt-ended instrument with very light

scraping, and yet the patient STILL goes on to develop Asherman's.

Thus, I believe that there are women out there who do just have

unforunate luck and are more " prone " to forming scar tissue than

others. I myself am prone to keloid scars (raised, puffy, red scars)

and I still wonder whether this proclivity for forming surface

scarring is in any way related to my apparently tendency to scar

internally as well.

So, your friend may be right in some cases, but I am sorry to say

that many, perhaps even the majority of Asherman's cases are caused

by a doctor that scrapes too hard and too deep when performing a D & C.

Just my two cents worth...

Gwen