Advice Please - UD (u/s, hsg, ment.)

[Guest guest]

Okay girls, I'm more confused than ever and I need some advice from you wise and

experienced ladies.

Background: My dr. has concluded that I am UD. Her basis for this diagnosis is

the fact that I have a vaginal septum (resection scheduled for Halloween) and

two cervices. Also, we have done a vaginal u/s that she feels is conclusive to

showing the two seperate uteri.

My problem is the u/s showed the two uteri but they were sitting right beside

each other, so it was hard for me to be so conclusive that they are completely

seperate and that there is no septum. I know it's a rare possibility to have a

vaginal septum, two cervices, and a septated uterus, but it is possible. So my

question is do I go on with the vaginal septum resection and trust the dr.'s

diagnosis, or should I push for more testing. I know this is silly, but she's so

positive that I'm UD that I'm questioning my reasoning on going further.

So ladies, what would you do, trust the dr. or push for more tests. And if I

want to have more tests done, should I go ahead with the vaginal septum

resection or postpone that until I'm sure of the UD diagnosis.

Thanks in advance for all responses!

---------------------------------

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[Guest guest]

,

Been there. Done that. Still sorta doing that. (I love and trust my

doc, but there is a little niggling part of me that says " but what if.

.. . " And as a result, that little niggling part of me asks " were you

premature in doing the vag. septum resection?! " ) You're in my

thoughts.

Could you possibly get an MRI before your surgery date? A PROPERLY

done MRI can be helpful, but it has to be done right. And if you go

the MRI route, make sure your doc reviews the films, and doesn't just

rely on the MRI report (my MRI report dx'ed a " atypical didelphyc

septum " - WHAT HUH?)

Ann

--- Gentry dinahgentry@...> wrote:

> Okay girls, I'm more confused than ever and I need some advice from

> you wise and experienced ladies.

>

> Background: My dr. has concluded that I am UD. Her basis for this

> diagnosis is the fact that I have a vaginal septum (resection

> scheduled for Halloween) and two cervices. Also, we have done a

> vaginal u/s that she feels is conclusive to showing the two seperate

> uteri.

>

> My problem is the u/s showed the two uteri but they were sitting

> right beside each other, so it was hard for me to be so conclusive

> that they are completely seperate and that there is no septum. I

> know it's a rare possibility to have a vaginal septum, two cervices,

> and a septated uterus, but it is possible. So my question is do I go

> on with the vaginal septum resection and trust the dr.'s diagnosis,

> or should I push for more testing. I know this is silly, but she's so

> positive that I'm UD that I'm questioning my reasoning on going

> further.

>

> So ladies, what would you do, trust the dr. or push for more tests.

> And if I want to have more tests done, should I go ahead with the

> vaginal septum resection or postpone that until I'm sure of the UD

> diagnosis.

>

> Thanks in advance for all responses!

>

>

>

>

> ---------------------------------

> Yahoo! Music Unlimited - Access over 1 million songs. Try it free.

>

>

[Guest guest]

,

i would not have the resection without knowing the diagnosis. Just because you

have two cervixes does not mean that you are UD, although it is a sign of that.

With UD, your uteri have to be completely separate. I would ask my dr. for a

lap/hyst exam to determine your diagnosis properly. While they are doing that

procedure, if it appears that you have a septum and it should be

removed/resected then it is doen right then and there. If you are UD and your

dr. is trying to do a unification surgery I would highly recommend seeing

another dr. That is the LAST option and sometimes it is not even an option. With

UD surgery is not recommended and it cannot be beneficial at times. With UD the

scarring and complications that surgery can bring can sometimes cause

infertility. I'd know what this dr. is doing before anything. What kind of

testing have you had to determine your anomaly? Have you seen an RE

(reproductive endocrinologist)? Keep me posted. I am curious to your situation.

Brandee

UD TTC#1

2 m/c 3/05 & 7/05

Gentry dinahgentry@...> wrote:

Okay girls, I'm more confused than ever and I need some advice from you wise and

experienced ladies.

Background: My dr. has concluded that I am UD. Her basis for this diagnosis is

the fact that I have a vaginal septum (resection scheduled for Halloween) and

two cervices. Also, we have done a vaginal u/s that she feels is conclusive to

showing the two seperate uteri.

My problem is the u/s showed the two uteri but they were sitting right beside

each other, so it was hard for me to be so conclusive that they are completely

seperate and that there is no septum. I know it's a rare possibility to have a

vaginal septum, two cervices, and a septated uterus, but it is possible. So my

question is do I go on with the vaginal septum resection and trust the dr.'s

diagnosis, or should I push for more testing. I know this is silly, but she's so

positive that I'm UD that I'm questioning my reasoning on going further.

So ladies, what would you do, trust the dr. or push for more tests. And if I

want to have more tests done, should I go ahead with the vaginal septum

resection or postpone that until I'm sure of the UD diagnosis.

Thanks in advance for all responses!

---------------------------------

Yahoo! Music Unlimited - Access over 1 million songs. Try it free.

[Guest guest]

WOW! I feel a little slow but the way Brandee just stated that, there was no way

to not get it this time. My uteri are not completely seperate in the pictures I

have... thus... I'm likely not UD???? I have the vaginal septum and two

cervixes. As for the uteri, they are both about average size, but from what I

know, are connected by some septum. This all is SOOO stressful! We pay so much

money for all these tests and surgeries, and sometimes still are given wrong

diagnoses because of inexperienced doctors!!!!!!!!!!!!!!!!

Marcie (UD) --- feeling a little anxious now

Brandee Manning bramanning@...> wrote:

,

i would not have the resection without knowing the diagnosis. Just because you

have two cervixes does not mean that you are UD, although it is a sign of that.

With UD, your uteri have to be completely separate. I would ask my dr. for a

lap/hyst exam to determine your diagnosis properly. While they are doing that

procedure, if it appears that you have a septum and it should be

removed/resected then it is doen right then and there. If you are UD and your

dr. is trying to do a unification surgery I would highly recommend seeing

another dr. That is the LAST option and sometimes it is not even an option. With

UD surgery is not recommended and it cannot be beneficial at times. With UD the

scarring and complications that surgery can bring can sometimes cause

infertility. I'd know what this dr. is doing before anything. What kind of

testing have you had to determine your anomaly? Have you seen an RE

(reproductive endocrinologist)? Keep me posted. I am curious to your situation.

Brandee

UD TTC#1

2 m/c 3/05 & 7/05

Gentry dinahgentry@...> wrote:

Okay girls, I'm more confused than ever and I need some advice from you wise and

experienced ladies.

Background: My dr. has concluded that I am UD. Her basis for this diagnosis is

the fact that I have a vaginal septum (resection scheduled for Halloween) and

two cervices. Also, we have done a vaginal u/s that she feels is conclusive to

showing the two seperate uteri.

My problem is the u/s showed the two uteri but they were sitting right beside

each other, so it was hard for me to be so conclusive that they are completely

seperate and that there is no septum. I know it's a rare possibility to have a

vaginal septum, two cervices, and a septated uterus, but it is possible. So my

question is do I go on with the vaginal septum resection and trust the dr.'s

diagnosis, or should I push for more testing. I know this is silly, but she's so

positive that I'm UD that I'm questioning my reasoning on going further.

So ladies, what would you do, trust the dr. or push for more tests. And if I

want to have more tests done, should I go ahead with the vaginal septum

resection or postpone that until I'm sure of the UD diagnosis.

Thanks in advance for all responses!

---------------------------------

Yahoo! Music Unlimited - Access over 1 million songs. Try it free.

[Guest guest]

Brandee, thanks for your interest and comments. My dr. is actually doing a

vaginal septum resection. I had been having pain during bd'ing and went to the

dr. and she discovered the vaginal septum and two cervices.

She then sent me to have a vaginal u/s to see if I was UD and to be sure I had

two healthy ovaries (I do, yay!). She feels sure that the u/s shows the uteri

are seperate, but they are so close together I didn't feel so sure.

Between the two cervices and the u/s results, my dr. has diagnosed me as being

UD. Basically, as Ann stated, I just have this voice in my head saying what

if....

I think I've decided to go ahead with the vaginal septum resection as planned

and after the holidays decide if I want to pursue having a HSG and possibly

lap/hyst done for my own peace of mind.

Additionally my dr. did talk to me about a unification procedure but was

strongly against it and stated that she would NOT perform that surgery.

Brandee Manning bramanning@...> wrote:

,

i would not have the resection without knowing the diagnosis. Just because you

have two cervixes does not mean that you are UD, although it is a sign of that.

With UD, your uteri have to be completely separate. I would ask my dr. for a

lap/hyst exam to determine your diagnosis properly. While they are doing that

procedure, if it appears that you have a septum and it should be

removed/resected then it is doen right then and there. If you are UD and your

dr. is trying to do a unification surgery I would highly recommend seeing

another dr. That is the LAST option and sometimes it is not even an option. With

UD surgery is not recommended and it cannot be beneficial at times. With UD the

scarring and complications that surgery can bring can sometimes cause

infertility. I'd know what this dr. is doing before anything. What kind of

testing have you had to determine your anomaly? Have you seen an RE

(reproductive endocrinologist)? Keep me posted. I am curious to your situation.

Brandee

UD TTC#1

2 m/c 3/05 & 7/05

Gentry dinahgentry@...> wrote:

Okay girls, I'm more confused than ever and I need some advice from you wise and

experienced ladies.

Background: My dr. has concluded that I am UD. Her basis for this diagnosis is

the fact that I have a vaginal septum (resection scheduled for Halloween) and

two cervices. Also, we have done a vaginal u/s that she feels is conclusive to

showing the two seperate uteri.

My problem is the u/s showed the two uteri but they were sitting right beside

each other, so it was hard for me to be so conclusive that they are completely

seperate and that there is no septum. I know it's a rare possibility to have a

vaginal septum, two cervices, and a septated uterus, but it is possible. So my

question is do I go on with the vaginal septum resection and trust the dr.'s

diagnosis, or should I push for more testing. I know this is silly, but she's so

positive that I'm UD that I'm questioning my reasoning on going further.

So ladies, what would you do, trust the dr. or push for more tests. And if I

want to have more tests done, should I go ahead with the vaginal septum

resection or postpone that until I'm sure of the UD diagnosis.

Thanks in advance for all responses!

---------------------------------

Yahoo! Music Unlimited - Access over 1 million songs. Try it free.

[Guest guest]

UD can have (in fact often do have) fused external walls of the two uteri -

giving the appearance on u/s of one organ. So, if the pictures look like the

the two cavaties have a shared wall, you could still be UD.

Basically, Septate uterus = one uterus with a septum dividing it, forming part

of the internal structure of the uterus The septum is NOT uterine tissue, and

usually not vascular (is not rich in blood vessels), and may present some

problems in supporting implantation/stretching to accomodate a pregnancy.

This is why resection of SU may be helpful.

Uterus Didelphys - two uteri, can be either fused or not on an external wall.

All the internal surfaces of each uterus is uterine tissue, so it is vascular

and

capable of supporting implanation and usually capable of stretching in

pregnancy. It is thought that this is why UD has fairly good reproductive

outcomes.

Bicornate Uterus - the bit of the uterus that projects into the fundus (top of

the

uterus) is uterine tissue. Some women have a combination of Bicornate and

Septate Uterus - which means the upper part of the dividing wall is uterine

tissue and the rest is a septum, which is not uterine tissue - and with all the

problems of that.

Doctors often use the term septum simply to mean dividing wall and fail to

properly differentiate UD from SU from SU/BU combination. One of the best

techniques for diagnosis is lap/hyst, as they can make a comparison of the

external shape of the uterus/uteri with the internal shape. A septate uterus

will look 'normal' on the outside, but will have two cavaties on the inside.

Whereas BU/UD will have distinctive external shape that reflects the internal

shape.

As for your vaginal septum being removed. I don't think it matters whether you

are SU or UD in terms of making a decision about removing the vaginal

septum. What matters is whether you feel there is a good reason for removing

it. Does it cause pain during intercourse? Does difficulty in using tampons

(or

using two) annoy you? Do you feel self-conscious about being 'different'

there and want to have a more normal vagina? These are all indications for

having the septum removed. On the other hand, if you are able to have

intercourse without pain, are concerned about the pain/risks of surgery, and

are happy to use towels/two tampons, and not bothered by the septum - you

have no reason to have the surgery. Whether you are UD or SU: If one

uterus/half of your uterus is very much smaller than the other, you should be

aware that in removing a complete vaginal septum, you lose control over

which 'side/uterus' you become pregnant in. This could mean having to use

IUI or similar at a later date, if you decide you definitely need to avoid

implantation on one side. however, if this were true in case of SU, you would

probably be best off having the uterine septum removed.

Judith

UD, 37wks+6

[Guest guest]

Marcie,

Let me rephrase what I was saying because it may have come out the wrong way.

With UD your uterus/i do not need to be copletely separate but the cervixes do.

Some people are diagnosed incorrectly and that is why I recommended the lap/hyst

procedure. I am UD (and I am only going on what my dr tells me) and my cervixes

do not touch. My uteri are very healthy, both seem to be the full size of a

normal uterus. This stuff can get overwhelming and just when you think you know

exactly what's going on...you read something that changes everything. Be sure to

consult with your dr. my information may be incorrect. We can't believe

everything we read. And we do, in some ways, have to surrender ourselved to the

knowledge and experience of our drs. My ob/gyn does not have experience with

MA's so I sought out an RE who specializes in MA's. There are times when I am

not sure if I have the right knowledge. But I do like my dr and feel confident

in him. It does get stressful with all of this

information. There are some people with 2 cervixes who are not UD and so many

other combinations. Try not to let this get to you. There is a lot of support in

this group and MANY women who have been through the wringer who are helpful and

willing to shre their stories and offer advice. There are not too many people

with UD but everyone here offers knowledge about MA. Believe me, I am NOT the

knowledgeable one in this group. I've just asked a lot of questions since I

joined and found the right dr's at the same time. If you need anything or want

to chat please email me directly at bramanning@.... If it wasn't for this

group I would never have asked half the questions I have. Stay positive!

Brandee

Marcie McMillian cece395@...> wrote:

WOW! I feel a little slow but the way Brandee just stated that, there was no way

to not get it this time. My uteri are not completely seperate in the pictures I

have... thus... I'm likely not UD???? I have the vaginal septum and two

cervixes. As for the uteri, they are both about average size, but from what I

know, are connected by some septum. This all is SOOO stressful! We pay so much

money for all these tests and surgeries, and sometimes still are given wrong

diagnoses because of inexperienced doctors!!!!!!!!!!!!!!!!

Marcie (UD) --- feeling a little anxious now

Brandee Manning bramanning@...> wrote:

,

i would not have the resection without knowing the diagnosis. Just because you

have two cervixes does not mean that you are UD, although it is a sign of that.

With UD, your uteri have to be completely separate. I would ask my dr. for a

lap/hyst exam to determine your diagnosis properly. While they are doing that

procedure, if it appears that you have a septum and it should be

removed/resected then it is doen right then and there. If you are UD and your

dr. is trying to do a unification surgery I would highly recommend seeing

another dr. That is the LAST option and sometimes it is not even an option. With

UD surgery is not recommended and it cannot be beneficial at times. With UD the

scarring and complications that surgery can bring can sometimes cause

infertility. I'd know what this dr. is doing before anything. What kind of

testing have you had to determine your anomaly? Have you seen an RE

(reproductive endocrinologist)? Keep me posted. I am curious to your situation.

Brandee

UD TTC#1

2 m/c 3/05 & 7/05

Gentry dinahgentry@...> wrote:

Okay girls, I'm more confused than ever and I need some advice from you wise and

experienced ladies.

Background: My dr. has concluded that I am UD. Her basis for this diagnosis is

the fact that I have a vaginal septum (resection scheduled for Halloween) and

two cervices. Also, we have done a vaginal u/s that she feels is conclusive to

showing the two seperate uteri.

My problem is the u/s showed the two uteri but they were sitting right beside

each other, so it was hard for me to be so conclusive that they are completely

seperate and that there is no septum. I know it's a rare possibility to have a

vaginal septum, two cervices, and a septated uterus, but it is possible. So my

question is do I go on with the vaginal septum resection and trust the dr.'s

diagnosis, or should I push for more testing. I know this is silly, but she's so

positive that I'm UD that I'm questioning my reasoning on going further.

So ladies, what would you do, trust the dr. or push for more tests. And if I

want to have more tests done, should I go ahead with the vaginal septum

resection or postpone that until I'm sure of the UD diagnosis.

Thanks in advance for all responses!

---------------------------------

Yahoo! Music Unlimited - Access over 1 million songs. Try it free.