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Thread: Asherman's? Ob/Gyn recommendation

  1. #19
    sky Guest

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    Trish,



    You sound like me, googling everything. I also found out about AS that way when I was trying to self diagnose. I worry about POF too!!

    I wanted to reply to your post but it's late now- will write tomorrow.

    sky

  2. #20

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    Sky, I would be getting a second opinion ... i just saw you posted ... Google was my best friend and still is.

  3. #21

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    Sky, in a diagnostic hyst, if there are only a very few filmy adhesions that can be broken up with the scope itself, the doctor will go ahead & do it. If there are more, or if the problems are near the cervix, they will take a quick look & then book you for theatre: either an operative hyst, or a lap/hyst depending on what the issues are. It's also possible you'd be sent for an SHG or an HSG, 2 different radiology tests.
    Who is the doctor??
    The renowned AS doctor in Sydney does not use balloons, as a matter of policy, because he thinks they increase the potential for infection.
    As far as infection, even if it's just a diagnostic hyst, you will be often prescribed a short (3-5 day) round of antibiotics, because a body cavity is entered. This depends on the doctor & on your own history. It would be something to ask for if you are concerned, & I should think you'd get a scrip without hesitation.
    If new adhesions form, they form within the first few months, but it would not be something to worry about over a matter of weeks. Also, the "main man" works with someone very good, who would care for his patients while he's gone. You would not be left to go back to your GP.
    Does that help?
    If you really have heaps more questions, I'd suggest joining the AS group, which you can do before a diagnosis, and posting questions there.
    Last edited by castle; June 5th, 2007 at 09:22 AM. Reason: needed extra word

  4. #22
    sky Guest

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    Trish,

    Thanks for sharing your story and reassuring me that I may not necessarily have AS (maybe just AS phobia!). You certainly have been through a lot. I'm so sorry about your still birth- I can't imagine the pain you went through, and having to cope with the bad curette experience and the fear of having AS right after. I'm so glad to hear that after all that you have two children. It gives me hope to hear success stories like yours and others. Your FS would have been able to see if you had AS during the laparoscopy procedure. Hearing all the procedures you underwent makes me think I'm overreacting about the hysteroscopy, and that I should try to trust the specialist. I'm nearing 40 and don't have a lot of time to wait and see if I conceive (not that it took long the first time). I also want to avoid the possibility of another mc which could result if I did have AS and conceived.

    I'll keep you posted on what happens.

    All the best,

    sky

  5. #23
    sky Guest

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    Castle, thanks again for your explanations. It helps me to hear other people's experiences to understand what's going on. The dr didn't explain much at all to me. And I'm the type of person that wants to know EVERYTHING! I'm seeing Prof Vancaillie, the reknowned AS dr I think you are referring to. I'm wondering if you are the same person from the AS support group I contacted a few weeks ago. At first I thought it would be best to wait for a diagnosis before joining the group but now I see there are tons of questions I have even at this stage. I'll see you there soon.

    sky

  6. #24

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    thanks Sky - I can understand your anxiousness I was 38 when I lost my daughter. I just left it late to go the IVF path -after we knew we could get pregnant. I wanted to try. Didn't have the encouragement to try before.BB and another friend helped me there ... to give it go I had so much to gain.

    Yes, I think that is what worried me the most - not having another chance because of some 'rare' syndrome.

    It was a different FS OB/G - Dr Gayer - she is fantastic and I would recommend her highly - though she was associated with the IVF clinic and it was actually half way during my first IVF cycle ... before I started the IVF hormone injections. I was fitted in urgently after they decided hydrosalphinx (fluid in damaged tube could) hinder embryo implanting (get washed out).I refused to cancel the cycle ... another month later was too long to wait.IYKWIM.

    The POF had be so scared too because I knew if was a possibility too given my age. Though they can also work with this.

    Re - a Hysteroscopy - I also knew it could be done without a GA (but I wouldn't ~ the SHG was bad enough).I agree with Castle - join a group or lurk and read others stories.The hysteroscopy might just be worth it.That at very least you will have some idea or good news but finding the best specialist is the key.

    Again, if you don't have AS - and if you are over 35 I wouldn't wait more than 6 months TTC before a referal to FS (not necesarily for IVF) as a few ladies were discussing in another thread. Ask you DR for referal for both you and your DH. There are a few options open to you not just IVF.

    I hope you don't need it though and you are soon announcing a BFP.Goodluck.

  7. #25

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    Sky, definitely don't wait before joining the group. Lots of women join pre-diagnosis. You'll find the members have a wealth of info on other gynae issues as well.
    I agree with Trish, you should be getting on this asap if you're over 35.
    Yes, Dr V is the specialist. You did not get in touch with me. Someone else is the support person for Sydney--I assume that's where you are. I'll see you there soon! BTW, Dr V does only hysteroscopic surgery. He would refer you to a FS if you needed help conceiving.
    Last edited by castle; June 8th, 2007 at 10:05 AM. Reason: typo

  8. #26

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    Sky
    I joined the As group and have found out alot of info. I am now going to go and see Dr V also. I hope I get good news and will be able to TTC soon. My gyn up here did not give me to option to have my AS fixed. He didn't even ask did I want another baby.

    The ladies have been very informative and just reading other peoples posts you get answers to your questions.

    I am still waiting to see my Gyn up here he is on hols till mid July. I don't know when i will be able to get my hystoscopy done.

    Cheers
    Chris

  9. #27
    sky Guest

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    Thanks everyone for all your support and advice.

    Trish, Dr V said he didn't think I had any problems conceiving given it took 3 months the first time. We only started seriously thinking about having a family around last July because we wanted to have some financial security and we both were studying until not long ago. I'll keep Dr G's name in mind if I ever do need to see a good FS but for now it's not a concern. We've only been ttc for about 3 months after the d&c but have postponed it until after I sort out what's happening with my AF, in case the underlying cause for it can interfere with a future pregnancy or my ability to conceive. A hysteroscopy is not a particularly risky or invasive procedure compared to others. My biggest worry with the hyst is uterine perforation but that is a risk with almost any invasive gyn prodecure. I plan to have the hyst in July after my next AF. I hope I'll have some good news to report back.

    Castle, yes I'll make sure to get some ABs before the hyst. I was given sporahexal and another one too before the d&c as well. I've just joined the AS group and look forward to finding out more about AS.

    Chris, I hope you have your hyst soon. Who will be performing it? Good luck.

    sky

  10. #28

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    Sky, put the uterine perf out of your mind with all the other one-in-a-million things that people simply cannot spend time worrying about.
    If the doctor cannot avoid a perf when he's using a camera and should therefore know exactly where everything is....
    It's much more of a risk with the d & c, especially if it's a "blind" d & c done without hysteroscopic guidance. But that is behind you now.
    With a doctor who is a super-specialist in this area, you should feel very confident that risk of a perforation is virtually nil!

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