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Re: Hysteroscopy Results

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I think it is very exciting that it was only a bit of scarring at the bottom.

This sounds pretty good to me! Jane

Hysteroscopy Results

Hi All,

I had my operative hysteroscopy done yesterday to remove the scar

tissue. My RE said that he had trouble entering the uterus, apparently

some scar tissue right at the top of the cervix, mouth of the uterus,

but once he pushed through that everything was open and mostly normal

looking. I had had a c-section 18 mos ago for placenta previa and he

feels it was this area at the bottom of the uterus where the previa was

that had formed some scar tissue. I think he said there was a small amt

of scar tissue at the opening of one of my tubes so he snipped that

away. He said there was so little scar tissue and a normal cavity that

he did not need to place a balloon.(hope that was okay). Then in a

little " aside " he mentioned a tiny perforation at the top of the uterus

to my husband, who at first thought he meant seeing some old perforation

that had been there. When my husband questioned him further, he said it

was nothing to worry about and would heal over in a couple of days.

(hope that doesn't mean " scar over " in a couple of days!). So in other

words, it sounds like my uterus was perforated during this procedure

yesterday. It is a large teaching hospital and I'll bet some hot shot

resident took a peek and perforated it. Well, I know this is a risk of

the procedure, and that if these perforations are tiny and don't bleed

(as this supposedly was) it is not usually a problem. Do you all think

this is correct? Or should I worry? I guess I was not too surprised

because I know I have stopped ovulating again recently (either from

breastfeeding or old age or a combo), and I knew the endometrium would

be very thin. He said it was also quite pale from lack of estrogen.

He put me on Doxycycline for 10 days, Estrace 2mg/day for 25 days,

and will add Provera 5mg/day on days 14-28 of that. He will see me

again after stopping this regimen and getting a period. So I suppose I

will have to fight to get a lining check during this time, since he is

not planning on doing one. I think that at at least some point during

this hormone therapy I want to check that the lining is thickening

properly. Apparently he sees no reason for it not to, but I still want

it checked. What would be a good point in time to get the lining

checked via transvaginal u/s? After about 12 days on the Estrace

maybe? And should it be checked before adding the Provera? (which is

started on day 14).

So I guess this all sounds like a very minimal case of Asherman's,

but you never know how one person's body will react to even a mild case

I suppose. How does this all sound to you? Do you think I am on a high

enough hormone dose and a long enough time of them? I suppose he might

do another month of the same thing, guess he will decide after he sees

me in 5 or 6 weeks. Seems like a long time.

, this sounds a lot like your case I think, what with the scar

tissue in just a small amt at the opening of the uterus or top of the

cervix. You got a lot more post-op follow up than I am getting, and I

am getting hormones that you are not. Go figure. I really think a lot

of my hormone therapy needed for age-related hormonal depletion. You

are nice and young with most likely lots of hormones. I unfortunately

feel menopausal these days, will probably feel lots better now on the

Estrace.

Sorry this is so long. Now I join many of the rest of you playing

the waiting game. Thanks for listening.

Terri

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