more q's regarding su/bu diagnosis

[Guest guest]

Thanks for your replies...I'm still trying to sort through all of the

information. It's only been a week since I was even diagnosed MA.

Several of you mentioned being diagnosed after HSG and ultrasound. Does

" ultrasound " mean sonohysterogram, or just a regular ultrasound? What I had

yesterday was a t/v ultrasound followed by a sonohysterogram (also called a

hysterosonogram, i guess), where they distended my uterus with water and

then did another t/v ultrasound. My doctor did consult an RE to ask whether

an MRI or SHG would be better and he said that in my case, SHG would be more

accurate.

Also, they followed the wall of my uterus and measured the lining (since I'm

around day 18/19 of my cycle) and it was consistent and thick all the way

around. Just out of curiousity, if there were a septum, would the lining on

it still be the same as on the real walls of the uterus? I assume that there

would have to be a lining on the septumto make it possible for an embryo to

implant there. But is it the same as the rest of the uterus? I can't find

any information on this on the internet.

I am caught between knowing that they were very thorough and wanting to

trust the diagnosis, but knowing that misdiagnosis is possible. I really

appreciate all the responses...sorry for all the questions!

Thanks,

[Guest guest]

,

hi- the endometrial lining on the septum is defective

in a number of ways, - it does not have the

appropriate molecular biology and blood flow to allow

embryo implantation and placental invasion to occur

successsfully there (which may contribute to the

increased risk of early miscarriage in MAs). the

regular endometrial lining of the rest of your uterus

should be totally normal.

thus, toward the goal of pregnancy- you want the

embryo to invade the part of your uterus that has

normal endometrium- but there is no way to force that

to happen- the site of implantation is random. this

may be why it is harder for some women with MAs to

conceive as well.

best

heidi

[Guest guest]

Hi - sounds like you have had what I first had - that is how

they found out about my MA. I had an HSG (water, distend uterus, u/s

etc), plus a t/v u/s. After the HSG I was told I could be BU or SU, no

way to tell for sure without a lap/hyst, although the RE had a " hunch "

I was SU. I also had an MRI. I had another hsg 2 months ago to ensure

my tubes were still clear after some retained placenta issues from

DD's birth. The sonographer was convinced I had BU - but I knew that I

am technically SU from my lap/hyst two years ago. I hate to contradict

your doctors, but virtually everyone on this board will urge you to

get the lap/hyst and be sure - ESP. if you have had any miscarriages

(m/c are very common with SU, and SU can normally be corrected

surgically - easily, during the lap/hyst).

Septums are typically fibrous - as Heidi mentionned, they lack blood

flow and if an embryo implants on the septum the pregnancy usually

fails in the first trimester. With BU the wall is muscular with good

blood flow, more like the wall of the uterus. I believe the difference

between a fibrous septum and a muscular wall can only be perceived my

an MRI, or a lap/hyst.

I hope we're not just confusing you more!

a

Complete SU/BU combo

dd 13 months

ttc

[Guest guest]

Hi - sounds like you have had what I first had - that is how

they found out about my MA. I had an HSG (water, distend uterus, u/s

etc), plus a t/v u/s. After the HSG I was told I could be BU or SU, no

way to tell for sure without a lap/hyst, although the RE had a " hunch "

I was SU. I also had an MRI. I had another hsg 2 months ago to ensure

my tubes were still clear after some retained placenta issues from

DD's birth. The sonographer was convinced I had BU - but I knew that I

am technically SU from my lap/hyst two years ago. I hate to contradict

your doctors, but virtually everyone on this board will urge you to

get the lap/hyst and be sure - ESP. if you have had any miscarriages

(m/c are very common with SU, and SU can normally be corrected

surgically - easily, during the lap/hyst).

Septums are typically fibrous - as Heidi mentionned, they lack blood

flow and if an embryo implants on the septum the pregnancy usually

fails in the first trimester. With BU the wall is muscular with good

blood flow, more like the wall of the uterus. I believe the difference

between a fibrous septum and a muscular wall can only be perceived my

an MRI, or a lap/hyst.

I hope we're not just confusing you more!

a

Complete SU/BU combo

dd 13 months

ttc

[Guest guest]

Hi - sounds like you have had what I first had - that is how

they found out about my MA. I had an HSG (water, distend uterus, u/s

etc), plus a t/v u/s. After the HSG I was told I could be BU or SU, no

way to tell for sure without a lap/hyst, although the RE had a " hunch "

I was SU. I also had an MRI. I had another hsg 2 months ago to ensure

my tubes were still clear after some retained placenta issues from

DD's birth. The sonographer was convinced I had BU - but I knew that I

am technically SU from my lap/hyst two years ago. I hate to contradict

your doctors, but virtually everyone on this board will urge you to

get the lap/hyst and be sure - ESP. if you have had any miscarriages

(m/c are very common with SU, and SU can normally be corrected

surgically - easily, during the lap/hyst).

Septums are typically fibrous - as Heidi mentionned, they lack blood

flow and if an embryo implants on the septum the pregnancy usually

fails in the first trimester. With BU the wall is muscular with good

blood flow, more like the wall of the uterus. I believe the difference

between a fibrous septum and a muscular wall can only be perceived my

an MRI, or a lap/hyst.

I hope we're not just confusing you more!

a

Complete SU/BU combo

dd 13 months

ttc

[Guest guest]

:

A lap/hys is the best way to diagnose between an SU and a BU. I had a t/v u/s

that showed two chambers, however; it could not correctly determine if I was BU

or SU. I saw my first RE who could not read the films and told me not to worry

or have the surgery. I sought a second opinion from an RE at Hopkins and she

correctly diagnosed my MA. I wanted a definate diagnosis before I started TTC

again after my m/c.

I think if you want a definate diagnosis, I would seek an experienced RE for a

lap/hys. That is the only way you will be certain if you are BU or SU.

Take care,

Ally

resected SU w/BU fundus

1 m/c

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

Start your day with Yahoo! - make it your home page

[Guest guest]

:

A lap/hys is the best way to diagnose between an SU and a BU. I had a t/v u/s

that showed two chambers, however; it could not correctly determine if I was BU

or SU. I saw my first RE who could not read the films and told me not to worry

or have the surgery. I sought a second opinion from an RE at Hopkins and she

correctly diagnosed my MA. I wanted a definate diagnosis before I started TTC

again after my m/c.

I think if you want a definate diagnosis, I would seek an experienced RE for a

lap/hys. That is the only way you will be certain if you are BU or SU.

Take care,

Ally

resected SU w/BU fundus

1 m/c

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

Start your day with Yahoo! - make it your home page

[Guest guest]

:

A lap/hys is the best way to diagnose between an SU and a BU. I had a t/v u/s

that showed two chambers, however; it could not correctly determine if I was BU

or SU. I saw my first RE who could not read the films and told me not to worry

or have the surgery. I sought a second opinion from an RE at Hopkins and she

correctly diagnosed my MA. I wanted a definate diagnosis before I started TTC

again after my m/c.

I think if you want a definate diagnosis, I would seek an experienced RE for a

lap/hys. That is the only way you will be certain if you are BU or SU.

Take care,

Ally

resected SU w/BU fundus

1 m/c

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

Start your day with Yahoo! - make it your home page