Guest guest Posted April 29, 2003 Report Share Posted April 29, 2003 Dear Shari, Welcome to the group and sorry for all that you have to go through. You may need to join a subgroup of this site on surrogacy- " surroashers " or so. I think you will be able to get some useful info from some members already pursuing or looking into that option. I hope you get a response regarding that from the moderator. I wish you all the best in your pursuit for a sibling for your son. I do not think the longing for a sibling ever stops even with adults. I once heard a lady in her thirties lament of loneliness of being an only child. Best wishes... Gladys Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 29, 2003 Report Share Posted April 29, 2003 , Thanks for your reply. I was interested in Columbian adoption b/c I have heard very good things about the health of these babies...unfortunately, the agency I was referred to is based in Buffalo NY, and I in NYC, and it is very hard to participate in their many social functions which are mandatory. The importance of social fundraising is more predominant to this agency than the adoption process, it seems. so I am 6 months later, with nothing. I apprecite your wisdom and advice. Shari Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 30, 2003 Report Share Posted April 30, 2003 Shari welcome to our group. I noticed you are interested in joining the SurroAsher group which is a sub group of this one. An invite will be sent to you once you have completed the profile questionnaire. Thanks. Poly Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 1, 2003 Report Share Posted May 1, 2003 Therese, Welcome to the group. I'm sorry that you have reason to be here and also for all of the pain that you have gone through. If you click on the files section you will see an A-list and a B-list of doctors who have had success with treating Asherman's. There are members who have had severe AS and are now pregnant or have already had a baby, so there is hope. I can't stress enough the importance of having treatment from someone who deals with Asherman's alot. It is a very delicate surgery and if it is performed by the wrong doctor, more damage can be done. Do you have any type of monthly spotting or do you have no bleeding but a lot of pain when it is time for your period? Both of those symptoms are signs that there is endometrium left which is good. There's also a list of questions that a doctor should be able to answer before you allow treatment and that is also under the files section. Please ask any questions. You will find that this group is filled with caring women who know just how you are feeling. Roxie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 1, 2003 Report Share Posted May 1, 2003 Therese, I'm so sorry to hear of all that you have been through. I too developed severe AS after I had a d & c for a missed miscarriage. I would highly recommend seeing one of the doctors on the " A List. " I have an appointment with Dr. March at the end of May and am hoping so badly that he'll be able to help. So may women on here who have experience dealing with AS highly recommend seeing an A List doctor. Please know that you're not alone in your struggle. There are lots of women out there who are dealing with similar problems, and we are here to give you whatever support and strnegth you need. Sending you lots of hugs, Terry > Hello, > > My name is Therese. My husband and I have been trying to have a > child for several years. Here is my story about how I developed > Asherman's Syndrome. > > In January of 2002, I had a D&C to get rid of retained products from > a miscarriage. The next day after surgery, I developed a high fever, > around 103. I ended up in the emergency room that night with > endometritis and was in the hospital for five days on intravenous > antibiotics. I also found out that I had e-coli in my blood stream. > Needless to say, I was very sick. I've been having female trouble > since then and a chemical pregnancy. > > I have also in the past several months developed amenorrhea. I had a > doctor that began to treat me for this, actually a fertility doctor. > He has decided to close down his practice, and I'm in need of a good > doctor that can help me with all the problems I'm having. His last > instructions to me were that I need to have a hysteroscopy to confirm > uterine synechia. He had put me on progesterone, premarin, etc. to > help bring on a cycle, but this didn't work. > > All the doctors around here are tiptoeing around me. They act like > they don't know why I have this problem. I live in Albuquerque, New > Mexico, and I'm wondering if anyone out there knows of a good doctor > that is an expert in Asherman's Syndrome. If not, a doctor close by. > > I've been really sick since this happened to me, and I think my > symptoms have just started to surface from this ordeal. > > I don't know what else to expect from this for the future. I don't > think I'll be able to have any children due to my age and now this > eliminates me from having an egg donor as well. > > I'm frustrated and the doctors don't seem to understand how bad I > feel. > > HELP!!! I would appreciate any suggestions on a good doctor and what > other symptoms do I need to look out for, etc. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 1, 2003 Report Share Posted May 1, 2003 Therese, Welcome to the group. I don't have a lot of time right now, but I wanted to make sure you started looking around this site at all the valuable information within. Please go to the home page and read the files and database sections to get a list of A and B list doctors who have experience in dealing with Ashermans. I think the closest to you might be Dr Indman in California, but I'm not sure. He is one of the best, so maybe it will work out for you to see him. I completely understand where you are coming from with trying to find a doctor that understands what you are going through. With the help of this group and the women who make it what it is, I have found peace and treatment. Don't give up hope and my best advice is to get the most experienced and skilled surgeon to help you through this. nancy w Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 9, 2003 Report Share Posted May 9, 2003 Welcome Verena I'm so glad you found this site. (not so glad you had to find it) These ladies are a wealth of information. I hope you can find an A list doctor near you. I'm sure someone in your area can help better with that. Good luck on your journey. B. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 9, 2003 Report Share Posted May 9, 2003 Verena, Welcome to our group. I'm sorry to learn that you have AS--but good for you for being so persistent and figuring our what was wrong. Since Asherman's is quite rare, doctors are often not very informed about it. From what I've read, most people are put on some type of hormone regimen after surgery to build up the uterine lining. Did your doctor put you on hormones? There's a list of different combinations of hormones that have been used in the database section of this web site titled " Hormone Treatment for Asherman's. " I hope that soon you will be able to conceive the baby that you want. Terry M. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 9, 2003 Report Share Posted May 9, 2003 Hello Verena, There is a good Asherman's doctor in Germany. He is Adolf Gallinat in Hamburg. (0) 40-4328580 / (0) 40-43285858 www.tagesklinik-altonaer-strasse.de You can find more information about him in our list of " A-list " doctors. This is the list of doctors who are well known for treating Asherman's and have been recommended by other doctors who also treat a lot of Asherman's. To find the list, click the " Database " link at the left side of the http://groups.yahoo.com/group/Ashermans page. I hope this helps. Also, one of the most senior members of our group is a German member named Corinna, maybe she can email you privately in German to help you more, although your English seems very good. We can wait to see if she answers your message, but if she doesn't see it, maybe we can email her directly and ask her to talk to you, if you wish. Best wishes, G. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 20, 2003 Report Share Posted May 20, 2003 Liz - Welcome to the website. I am sorry to hear about your losses, most of us here understand the pain you are going through. A couple of things struck me about your posting. The first thing was that your symptoms are actually positive, despite your not having a monthly flow. Monthly pain and a thick endometrium are very positive signs (one thing many members here struggle with is a thin lining, caused by previous scarring). Having said that, it sounds like your cervix may be scarred shut. Three months of birth control pills will do nothing to help that, so I would avoid going that route. I agree with the ladies who previously replied to your post in that you should seek a doctor experienced in treating AS. You need an HSG (which will most likely be unsuccessful if your cervix is scarred shut) or a hysteroscopy. Unfortunately, it sounds like you have a battle on your hands with your current doctor. The other thing that struck me is you have had 3 m/c's in a relatively short period of time - are your doctors doing anything to investigate the causes? I would push for that, as well. That's jsut my two cents :-). Best of luck to you, Liz, and please feel free to ask all the questions you want! Bethany Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 20, 2003 Report Share Posted May 20, 2003 Welcome Liz. Here's my two cent: Seems like an office hysteroscopy is in order. It's good that endometrial lining is visible and that you have cyclical pain. It's possible that only your cervix is scarred closed. That certainly caused me some cyclical pain. I also want to mention ovarian cyst related pain. The worst pain of my life has definitely been attributed to cysts. Mine get up to 10cm and more. Placement seems key with regard to how much pain they can cause. After a couple of cyst related surgeries, I take them very seriously. I too have had 3 miscarriages. I'm terribly sorry to read that we have this in common. I've done the birth control pill thing in hopes of regulating or " causing " a period, but it was to no avail, however I am now on b.c. to help control cysts. I might again ttc in another year (as soon as we can complete our impending adoption) in which case I'll clearly need to quit b.c. I don't have periods other than 1 day of light spotting, have little endometrium, and have a chromosomal problem that makes miscarriage far more likely than not. However, I sort of feel that if I could beat the odds to end up with AS and an auto-immune condition (both things doctors were initially " sure " I didn't have - same for the chromosomal imbalance) I just might beat the odds to have a baby the biological route in addition to the adoptive route. Time will tell. All my best to you. Let's hope it's only minor blocking that can easily be taken care of via hysteroscopy. I've been largely not dealing with AS for several months now (last surgery in July) but I do highly recommend Dr. Indman in Los Gatos. I know it's not in LA, but I traveled down from Seattle and felt it was my first effect step toward getting good answers - and peace of mind! Take care, J. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 20, 2003 Report Share Posted May 20, 2003 Liz, I joined this group a couple of months ago and my introduction sounded almost exactly like yours. I too had learned to chart from " Taking Charge of your Fertility " and my ovulations were " by the book " , but the day my temp would drop (15 days post ovulation) I would have intense cramps but no period. I couldn't convince anyone that I knew what I was talking about. Unfortunately your gut feeling is probably right and you might have Ashermans. For me it turned out that I had retained placenta (which wasn't detected by ultrasound) from D&C which had caused my cervix to scar shut. I also had scarring in my upper right side of my uterus. Dr. Palter (A-list in NY) did an ultrasound which showed a thick endometrial lining and gave me the provera challenge - nothing. Then he did an SHG where he was able to poke through the cervix scarring, but couldn't see much except the large piece of retained placenta (which he thought was a polyp at the time.) One week later he did a hysteroscopy/laparoscopy and I've since had a period. He did find that my periods had backflowed through my tubes which caused them to scar over and has potentially caused blockage (I'll find out thursday). Apparently there isn't a lot of research and therefore consensus about this, but Dr. Palter says it seems to be more of a problem then they once thought. My cervix was only blocked for 2-3 cycles (I wasn't charting at first) and now my tubes might be blocked - so I don't mean to instill any panic because the waiting is hard enough already, but my advice to you would be to go straight to an A-lister without wasting time with doctors who aren't experts in treating AS. I wish you the best of luck and would be happy to answer any questions you have! Jen Czap Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 23, 2003 Report Share Posted May 23, 2003 Dear Chanon, First of all I am so sorry that you have had so many problems. The good news is that now you have a diagnosis and can move forward towards getting the right medical treatment of your Asherman's. Look at the A-list and see if there is anyone on it that is near you. It is very important to have the corrective hysteroscopy and lysis of adhesions done properly. A D&C is not the proper way to treat Asherman's. Many of us with Asherman's have benn treated properly and been able to get pregnant again, so do not lose hope. Be very grateful that your son arrived before your Asherman's. With the proper treatment you will hopefully have another baby. I wish you the best luck in treating your Asherman's, and the women in this group are the best at offering moral support and excellent clinical suggestions. Good Luck and Welcome, D. ^'^ Angel Elijah 4/9/2003 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 23, 2003 Report Share Posted May 23, 2003 Chanon, I'm so sorry to hear that you have AS. Does your insurance require a referral or could you just go to see an A-list doctor without a referral? However you do it, I think it's best to see an A-lister. Since you're in Philly, the doctors in New York--there are a few A- listers there--would probably be the best place to start. Having a doctor who is very experienced in treating AS can make a huge difference in your results. IMO, it's worth it to see the best doctor possible right from the start. I'm glad you found this board--it's a great source of information and support. Take care, Terry M. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 29, 2003 Report Share Posted May 29, 2003 Welcome to this group, Helle. I am from Finland, 34 years old, have one son (born '00) and I'm struggling with ashermans, still hoping to have one or two more children. I've had one operative hysteroscopy in Helsinki and I'm having a hysteroscopy + laparoscopy with Dr. Gallinat in Hamburg on June 23rd. He is an excellent surgeon and one of the few ashermans experts worldwide. Is there any way you could consider going to him for help? I am Swedish speaking and understand Danish very well, so if you feel like contacting me privately you are very welcome to e-mail me at maria.fremer@... - there is also another Danish member, nne, but I think she is not reading the posts currently because ashermans is not her primary fertility problem. I could ask her if she wants to contact you, if you are interested. I know you will find all the information and support you need in this group, because I did too. F Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 29, 2003 Report Share Posted May 29, 2003 Helle, Welcome to our group! I am sorry to hear of all that you've been through, but hopefully, your doctor will be able to successfully treat your AS. Take care, Terry M. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 30, 2003 Report Share Posted May 30, 2003 Hope, Welcome to our group. I am so sorry to hear that you might have AS. I remember all too well how agonizing it was to wait for my test results and I too felt convinced I had AS (and unfortunately, I was right). Have you had an HSG or SHG? These are two tests commonly used to diagnose AS and are less invasive/less involved than a hysteroscopy. It was an HSG that confirmed I had AS. I think most doctors do one of these tests before doing a hysteroscopy. If you do have AS, I highly recommend that you see one of the A-list doctor for treatment. The experience of your doctor can make a huge difference and there are only a few doctors who are truly experienced in dealing with AS. I have Blue Shield PPO and my surgery will be covered. Thankfully, Dr. March (an A-list doctor) is on my plan and he does not code AS as infertility, which allows it to be covered. I do blame the doctor that performed my d & c for my AS. I'll be thinking of you. Take care, Terry M. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 30, 2003 Report Share Posted May 30, 2003 Terry, Thanks for your reply! In your opinion should I go to another doctor for the HSG or SHG? How long does it take to get results back from these tests? I was wondering where to find your story, because I am interested in where you are and what your journey has been like. Thanks for your feedback. Hope > Hope, > > Welcome to our group. I am so sorry to hear that you might have AS. I > remember all too well how agonizing it was to wait for my test > results and I too felt convinced I had AS (and unfortunately, I was > right). > > Have you had an HSG or SHG? These are two tests commonly used to > diagnose AS and are less invasive/less involved than a hysteroscopy. > It was an HSG that confirmed I had AS. I think most doctors do one of > these tests before doing a hysteroscopy. > > If you do have AS, I highly recommend that you see one of the A- list > doctor for treatment. The experience of your doctor can make a huge > difference and there are only a few doctors who are truly experienced > in dealing with AS. > > I have Blue Shield PPO and my surgery will be covered. Thankfully, > Dr. March (an A-list doctor) is on my plan and he does not code AS as > infertility, which allows it to be covered. > > I do blame the doctor that performed my d & c for my AS. > > I'll be thinking of you. > > Take care, > > Terry M. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 30, 2003 Report Share Posted May 30, 2003 Hi Hope, I don't think it's absolutely necessary to see an A-lister for an HSg since it's a relatively low-risk procedure. I scheduled mine through my regular ob-gyn and the HSG itself was conducted by a radiologist. It took my results over a week to come in, but I know some women have got the results much sooner. Here's my story: I got married in June 2002. We have no children. I'm thirty years old (will be 31 in October). I went off birth control pills in July, conceived in August, but miscarried around my 5th week, which went naturally. We waited one cycle to TTC, and then got pregnant again on our next try. Unfortunately, I discovered in my 11th week that the fetus had died in its 6th week, and I required a d & c, which I had in my 12th week. I had the fetal tissue tested, and the tests revealed trisomy 16--a random chromosomal problem that in no way affected our future chances of a successful pregnancy. After my d & c, I switched doctors since I was upset that my old doctor wasn't interested in running further tests on me to check that everything was ok and his office staff was rude and incompetent. My new doctor ran tests and discovered I have Graves' Disease--an autoimmune disease that causes my thyroid to go nuts. Graves' can also cause miscarriages, so it may have played a role in my first loss. After my d & c, my period didn't show, so my new doctor gave me provera to bring it on. That didn't work, so she had me get an HSG, which revealed scarring. My doctor was shocked that I had scarring from just one d & c. She admitted she was not experienced enough to treat AS and so referred me to a local RE. However, I soon found this web site and decided to see an A-list doctor instead of the RE, and I'm so glad I did. Since my HSG, I have had two periods, so my cycle is back on track. However, my most recent period was lighter than normal. I saw Dr. March a couple of weeks ago. He has treated hundreds of patients with AS and is very capable. We need to wait until my Graves' Disease is under control to do a hysteroscopy since there's a very slight risk that I could die while undergoing surgery, and that's not a risk either of us wanted to take. I hope to treat my Graves' with radiation sometime in the next few weeks. If the radiation treatment is successful (there's a 90% chance that it will be), then I should be able to have surgery in about three months or so. Dr. March will do my surgery--either a hysteroscopy or a combined laparoscopy/hysteroscopy if the scarring extends to the higher portion of my uterus. It was unclear from the HSG how deep the scarring extended. I am praying that one surgery will do the trick. After the surgery, I'll do a couple months of hormone treatments to help my lining. The earliest I will be able to TTC is January 2004, since I need to wait 6 months after the radiation treatment to conceive. That's about it. Right now for me it's just a waiting game since I've got at least three months before I can do anything about my AS. So, I'm just trying to focus as much as I can on eating healthy, working out, and trying to recover mentally emotionally from all that has happened this past year. I know how scary the possibility of having AS is, but there are lots of success stories, so keep the faith! Take care, Terry M. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 30, 2003 Report Share Posted May 30, 2003 Hope, I think Tery M did a great job at answering your questions. I just wanted to ask if the doctor you are going to now is the same doctor who did the D&C. If the answer is yes, I would find another doctor. If not, I had my HSG done in radiology by an OB/GYN. I had my results immediately because the OB was right there doing the procedure. After finding out that I did have AS, I then contacted an A list doctor and have had 2 surgeries so far and am awaiting my 3rd one. Another thing I want to add is that the doctor who does the HSG should also prescribe antibiotics to prevent infection which can make the scarring worse. I know all of this can be really scary and the pressure to go to another doctor is hard. When I was first diagnosed all I wanted to do was get it fixed ASAP. I'm so happy that I found this group and the list of doctors who will be able to give the most hope. Some people do have a tendency to scar easier than others but I think a lot of the cases are caused by overly aggressive D&C's especially when done on a recently pregnant uterus. Infection can also cause AS. That is my own opinion and in the USA, it is very hard to prove from a legal standpoint. You mentioned taking estrogen. Did your doctor prescribe that right after the D&C or is this because of not getting your period? Hang in there and I'm sure you will get other responses. You have found the right place and there are many members who have gone on to have a baby or are pregnant right now after having their AS treated. Also I have an HMO and I was able to get out of network coverage for all of my surgeries so far. Roxie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 30, 2003 Report Share Posted May 30, 2003 Hi Hope, Welcome to the group! I really hope that you do have a bleed after your course of estrogen but if not, you've find the right place for support and information. I had a similar experience after a D&C except that my periods were just incredibly light. I wonder why your doctor wouldn't just schedule an SHG or HSG right off the bat to check for scarring? It is possible to have AS diagnosed and treated all in one procedure, but I don't think too many women have gone that route--mainly because you don't want your regular doctor to do the surgery. I think it's OK to let your OB do the hysteroscopy as long as you make absolutely certain that he/she is not going to do anything else (surgery). In this case, you might want to get a video of the hysteroscopy to send to an A-list doctor. Or of course you could go directly to an A-list for diagnosis and treatment. It will probably depend on your location and your insurance. To answer your other questions...My insurance (HMO) did cover my surgery, but it was with an in-network doctor and it had to be precertified. I think a lot of it depends on how it is billed i.e. amenorrhea vs. infertility. Yes, I do blame the OB who did my D&C. I came out of that procedure with no endometrium on the majority of the walls. I asked her not to scrape, but she did anyway. Please don't feel devastated--it's much too early for that! There are countless members in this group who thought at one time or another that it was hopeless, only to go on to a healthy pregnancy. My husband always says that until someone tells us otherwise, we just have to assume the best! Still, I know how hard it is to stay positive all the time. Try to just take baby steps for now and not think too much about the " what ifs " . Focus on getting a proper diagnosis for now. Best wishes to you Hope! Haley Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 30, 2003 Report Share Posted May 30, 2003 > Hi Hope, > > I don't think it's absolutely necessary to see an A-lister for an HSg > since it's a relatively low-risk procedure. I scheduled mine through > my regular ob-gyn and the HSG itself was conducted by a radiologist. > It took my results over a week to come in, but I know some women have > got the results much sooner. > > > Here's my story: > > I got married in June 2002. We have no children. I'm thirty years old > (will be 31 in October). I went off birth control pills in July, > conceived in August, but miscarried around my 5th week, which went > naturally. We waited one cycle to TTC, and then got pregnant again on > our next try. Unfortunately, I discovered in my 11th week that the > fetus had died in its 6th week, and I required a d & c, which I had > in my 12th week. I had the fetal tissue tested, and the tests > revealed trisomy 16--a random chromosomal problem that in no way > affected our future chances of a successful pregnancy. > > After my d & c, I switched doctors since I was upset that my old > doctor wasn't interested in running further tests on me to check that > everything was ok and his office staff was rude and incompetent. My > new doctor ran tests and discovered I have Graves' Disease--an > autoimmune disease that causes my thyroid to go nuts. Graves' can > also cause miscarriages, so it may have played a role in my first > loss. > > After my d & c, my period didn't show, so my new doctor gave me > provera to bring it on. That didn't work, so she had me get an HSG, > which revealed scarring. My doctor was shocked that I had scarring > from just one d & c. She admitted she was not experienced enough to > treat AS and so referred me to a local RE. However, I soon found this > web site and decided to see an A-list doctor instead of the RE, and > I'm so glad I did. > > Since my HSG, I have had two periods, so my cycle is back on track. > However, my most recent period was lighter than normal. > > I saw Dr. March a couple of weeks ago. He has treated > hundreds of patients with AS and is very capable. We need to wait > until my Graves' Disease is under control to do a hysteroscopy since > there's a very slight risk that I could die while undergoing surgery, > and that's not a risk either of us wanted to take. I hope to treat my > Graves' with radiation sometime in the next few weeks. If the > radiation treatment is successful (there's a 90% chance that it will > be), then I should be able to have surgery in about three months or > so. > > Dr. March will do my surgery--either a hysteroscopy or a combined > laparoscopy/hysteroscopy if the scarring extends to the higher > portion of my uterus. It was unclear from the HSG how deep the > scarring extended. I am praying that one surgery will do the trick. > After the surgery, I'll do a couple months of hormone treatments to > help my lining. The earliest I will be able to TTC is January 2004, > since I need to wait 6 months after the radiation treatment to > conceive. > > That's about it. Right now for me it's just a waiting game since I've > got at least three months before I can do anything about my AS. So, > I'm just trying to focus as much as I can on eating healthy, working > out, and trying to recover mentally emotionally from all that has > happened this past year. > > I know how scary the possibility of having AS is, but there are lots > of success stories, so keep the faith! > > Take care, > > Terry M. Terry, Thanks again for your reply. My heart hurts for what you have been going through over the past year. It appears that you have been keeping the faith and you inspire me to hold on! I believe that with God nothing is impossible and He hears our crys. I pray your upcoming radiation treatments will go well. I am going to call my doc. and see if I can get the HSG. Thanks and take care of you. Hope Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 30, 2003 Report Share Posted May 30, 2003 > Hi Hope, > Welcome to the group! I really hope that you do have a bleed after > your course of estrogen but if not, you've find the right place for > support and information. I had a similar experience after a D&C > except that my periods were just incredibly light. > > I wonder why your doctor wouldn't just schedule an SHG or HSG right > off the bat to check for scarring? It is possible to have AS > diagnosed and treated all in one procedure, but I don't think too > many women have gone that route--mainly because you don't want your > regular doctor to do the surgery. I think it's OK to let your OB do > the hysteroscopy as long as you make absolutely certain that he/she > is not going to do anything else (surgery). In this case, you might > want to get a video of the hysteroscopy to send to an A-list doctor. > Or of course you could go directly to an A-list for diagnosis and > treatment. It will probably depend on your location and your > insurance. > > To answer your other questions...My insurance (HMO) did cover my > surgery, but it was with an in-network doctor and it had to be > precertified. I think a lot of it depends on how it is billed i.e. > amenorrhea vs. infertility. Yes, I do blame the OB who did my D&C. > I came out of that procedure with no endometrium on the majority of > the walls. I asked her not to scrape, but she did anyway. > > Please don't feel devastated--it's much too early for that! There > are countless members in this group who thought at one time or > another that it was hopeless, only to go on to a healthy pregnancy. > My husband always says that until someone tells us otherwise, we just > have to assume the best! Still, I know how hard it is to stay > positive all the time. Try to just take baby steps for now and not > think too much about the " what ifs " . Focus on getting a proper > diagnosis for now. > > Best wishes to you Hope! > Haley Haley, Thank you for your reply. I am going to ask my doc. to see if he will go ahead and do SHG or HSG before I finish the estrogen. Great advice about getting a video tape of test! Thanks for your words of encouragement and advice. I have been tearful for the past couple of days and it helps to know I am not alone. Thank you, Hope Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 30, 2003 Report Share Posted May 30, 2003 > Hope, > I think Tery M did a great job at answering your questions. I just > wanted to ask if the doctor you are going to now is the same doctor > who did the D&C. If the answer is yes, I would find another doctor. > If not, I had my HSG done in radiology by an OB/GYN. I had my results > immediately because the OB was right there doing the procedure. After > finding out that I did have AS, I then contacted an A list doctor and > have had 2 surgeries so far and am awaiting my 3rd one. Another thing > I want to add is that the doctor who does the HSG should also > prescribe antibiotics to prevent infection which can make the scarring > worse. I know all of this can be really scary and the pressure to go > to another doctor is hard. When I was first diagnosed all I wanted to > do was get it fixed ASAP. I'm so happy that I found this group and > the list of doctors who will be able to give the most hope. Some > people do have a tendency to scar easier than others but I think a lot > of the cases are caused by overly aggressive D&C's especially when > done on a recently pregnant uterus. Infection can also cause AS. > That is my own opinion and in the USA, it is very hard to prove from a > legal standpoint. You mentioned taking estrogen. Did your doctor > prescribe that right after the D&C or is this because of not getting > your period? Hang in there and I'm sure you will get other responses. > You have found the right place and there are many members who have > gone on to have a baby or are pregnant right now after having their AS > treated. Also I have an HMO and I was able to get out of network > coverage for all of my surgeries so far. > Roxie Roxie, I was going to go to the same doctor, but I know of two other doctors I could go to. This doctor first put me on progesterone and then started me on estrogen 2 days ago to help me start. Do you mean that the doctor should put me on an antibiotic after the test or after the surgery? What kind of experience have you had with your doctor and your surgeries? Hope Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 17, 2003 Report Share Posted June 17, 2003 Dear Keri, HAve they tried giving you a round of estrogen before giving you the Provera? The two reasons for not having a period are that your estrogen is too low to produce a lining to shed, or that you have mechanical abnormality(like sacr tissue or an obstruction to flow). WHen you said the ultrasound was normal, does that mean you had a triple pattern or at least 5mm endometrial lining?? ANd what hormones have they measured?? WHy is he also doing a laparoscopy? WHy not just a hysteroscopy?? If the HSG is really normal..... Perhaps another opinion with a different RE?? I must confess I am a little perplexed. Once again, if your estrogen is too low, even with a normal uterus (without Asherman's) you may not have withdrawal bleeding. SO maybe they should do that before your surgery?? GOod Luck! Hugs, D. Quote Link to comment Share on other sites More sharing options...
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