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Re: Canadian Women (pg, m/c ment)

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Hi,

I think you're in good hands. Here's a quick outline of my history:

-pre-pregnancy ultrasound: arcuate uterus

-pregnancy ultrasounds: bicornuate/septate. Impossible to tell.

-baby died at 11 weeks and had m/c at 14 weeks.

-my own ob-gyn did not think we needed a better dx. He thought I

should try to get pregnant again before deciding that the shape of my

uterus was a problem.

-I called the best high-risk pregnancy clinic in TO (Mount Sinai) and

asked for the name of a dr. who performed septoplasties.

-was referred to Dr. Leyland (St. ph's Hospital) who is a

gyn-surgeon and not an ob-gyn.

-He did one of those ultrasounds in which my uterus was filled with

some sort of saline solution. The dx was so clear that he scheduled

my surgery right away.

-Surgery was a hysteroscopy only (through the vagina, no lap and no

incisions in the stomach) and I think he used some sort of laser

device but I'm not too sure.

-recovery was fairly quick and was so worth it.

-I am now 6 weeks pregnant and Dr. Leyland will refer me to an ob-gyn

who has experience with my kind of uterus. I think he works with a

limited number of ob-gyns, I think they are former students of his. I

will not have a RE or a peri, I don't think, but I am confident I will

be in good hands.

I think you're probably in good hands, especially if this surgeon is

highly regarded by others. Once you've had your surgery, get him to

refer you to an ob-gyn who will understand you're situation. That's

much easier than trying to convince a dr. to take you seriously. I

don't think you need a RE unless they decide you have problems other

than a SU.

Best of luck. I hope this info helps a bit.

>

> Hello ladies!

>

> I was recently diagnosed with septate uterus.

>

> I am curious about any management/treatment/experiences that you can

> share.

>

> After TTC for 1 year my ObGyn commenced the initial tests. SA,

> hormones, ultrasound coming back " normal. " HSG indicated uterine

> abnormality. Either septate or bicornuate. Sent for private MRI.

> Radiologist reported septate uterus. I follow up with my ObGyn next

> week. He did mention that in the case of a septum he would perform

> a hysterscopy with scissors. Followed by 4 cycles of clomid and

> timed intercoarse before referring us for IVF. We would continue 2

> more cycles of clomid while awaiting IVF consult.

>

> He spoke generally given that we were not aware of the MRI results

> at the time.

>

> I have consulted one other ObGyn who indicated that I was in good

> hands and had a " talentted gyn surgeon " who was completely capable

> of handling my case.

>

> I ran the situation past my family doctor who also has an ObGyn

> rotation. She said there is no need for an RE consult.

>

> My concern is that I do not have easy accessibility to an RE or

> fertility clinic. I want to ensure that I am being managed

> appropriately.

>

> Any thoughts or advice is welcome.

>

> Thank you.

>

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