Guest guest Posted December 21, 2001 Report Share Posted December 21, 2001 , I can understand you wanting to know as much as possible before TTC. I had a HSG and a hysterosonogram and they still were not sure if I had a septum or a bicornuate uterus. With the MRI, though, it was very clear that it was a septum. It couldn't hurt to try to get one done for your peace of mind. It is such an easy test to go through. Take care, Melinda > I haven't posted in a while. But the topic of TTC has come up for us. > There has been posts of misdiagnosis, so in the back of my mind I > still worry. I have UD (bicollis)diagnosed through US. I am > confortable with this, and with the idea that I could have a long > road ahead of me with some possible upsets along the way. In some > senses I am greatful that I have UD, b/c it seems to have higher > success rates than other MA's. But could I be mis-diagnosed? Is there > a chance than I could have a septum, that extends so far that it is > misinterpeted as UD? I am due to make an appt with my Dr. and don't > want to portray that I question his judgement. But would an MRI > confirm my UD? Should I request this? I would just like to go into > this journey with as much info up front about the particular MA I > have so we can be better prepared/accepting of what can happen along > the way, in that a septum could give far more trouble than UD. > Thanks > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 21, 2001 Report Share Posted December 21, 2001 <<But could I be mis-diagnosed? Is there a chance than I could have a septum, that extends so far that it is misinterpeted as UD? >> Maybe. But septate uteri with two cervices are mighty rare. <<I am due to make an appt with my Dr. and don't want to portray that I question his judgement.>> He will probably consider your questions with professional disinterest and perhaps even gratitude. I often think that it must be hard to give a professional judgment and not have it evaluated by the person most affected--the patient. << But would an MRI confirm my UD? Should I request this? >> An MRI would be better than an US, but is not the " gold standard " of diagnosis. You know what I would do? I would want to go over the US results and images with the doctor and find out what he knows and how/why. Or even have a second US. In my own case, a careful ultrasound correctly diagnosed that my uterus was septate rather than bicornuate, but since US are considered unreliable, my surgeon wanted to look at the fundus through a laparoscope, and also to be able to monitor the surgery that way. He did not want to rely on US alone. *I* would have felt good relying on US alone to nail down my diagnosis, because I paid close attention during the US and saw with my own eyes that my uterus was united on the outside and split on the inside. I saw the V of the two endometrial canals and the smooth, white oval line of the outside surface of the uterus; it neither dimpled nor formed an 8 on the screen. It was just a big O shape. And the US tech showed me his diagnostic book, and images of both bicornuate and septate uteri as they tend to appear on US . . . he included me in the test . . . it was highly informative. With a UD, a very careful US should show two separate uterine bodies, like side-by-side Os . . . if I saw that with my own eyes during the US, I would be satisfied. That's just me . . . and I'm not sure I explained my feelings well, or that my feelings have anything to do with what you want . . . jmho. Good luck! Beth -- full septum reduced to partial septum Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 21, 2001 Report Share Posted December 21, 2001 > <<But could I be mis-diagnosed? Is there > a chance than I could have a septum, that extends so far that it is > misinterpeted as UD? >> I just went through this myself! I have UD and was diagnosed via US so I started worrying that I was misdiagnosed. What my RE told me to do was to pick up my ultrasound films and a copy of the report. Well, I did and the report and ultrasound not only showed both cavities, but pointed out both endometrial stripes, which is considered a diagnostic standard for UD. I feel much better about my dianosis now and very relieved about the level of care I'm being given :-) Hope this helps! ~ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 21, 2001 Report Share Posted December 21, 2001 > <<But could I be mis-diagnosed? Is there > a chance than I could have a septum, that extends so far that it is > misinterpeted as UD? >> I just went through this myself! I have UD and was diagnosed via US so I started worrying that I was misdiagnosed. What my RE told me to do was to pick up my ultrasound films and a copy of the report. Well, I did and the report and ultrasound not only showed both cavities, but pointed out both endometrial stripes, which is considered a diagnostic standard for UD. I feel much better about my dianosis now and very relieved about the level of care I'm being given :-) Hope this helps! ~ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 21, 2001 Report Share Posted December 21, 2001 I'm afraid I have no advice, but I do share your wonder at misdiagnosing - my doctor (ob/gyn) just did a laparascopy/hysteroscopy in which she diagnosed me with a " huge " septum. Yes, I have miscarried twice, but I also have a two year old who was 8 lbs and healthy at birth. And I can't help but wonder, could she be wrong? Could I have a bicornate uterus instead of a septum? Keep us updated on what you find out- > I haven't posted in a while. But the topic of TTC has come up for us. > There has been posts of misdiagnosis, so in the back of my mind I > still worry. I have UD (bicollis)diagnosed through US. I am > confortable with this, and with the idea that I could have a long > road ahead of me with some possible upsets along the way. In some > senses I am greatful that I have UD, b/c it seems to have higher > success rates than other MA's. But could I be mis-diagnosed? Is there > a chance than I could have a septum, that extends so far that it is > misinterpeted as UD? I am due to make an appt with my Dr. and don't > want to portray that I question his judgement. But would an MRI > confirm my UD? Should I request this? I would just like to go into > this journey with as much info up front about the particular MA I > have so we can be better prepared/accepting of what can happen along > the way, in that a septum could give far more trouble than UD. > Thanks > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 21, 2001 Report Share Posted December 21, 2001 I'm afraid I have no advice, but I do share your wonder at misdiagnosing - my doctor (ob/gyn) just did a laparascopy/hysteroscopy in which she diagnosed me with a " huge " septum. Yes, I have miscarried twice, but I also have a two year old who was 8 lbs and healthy at birth. And I can't help but wonder, could she be wrong? Could I have a bicornate uterus instead of a septum? Keep us updated on what you find out- > I haven't posted in a while. But the topic of TTC has come up for us. > There has been posts of misdiagnosis, so in the back of my mind I > still worry. I have UD (bicollis)diagnosed through US. I am > confortable with this, and with the idea that I could have a long > road ahead of me with some possible upsets along the way. In some > senses I am greatful that I have UD, b/c it seems to have higher > success rates than other MA's. But could I be mis-diagnosed? Is there > a chance than I could have a septum, that extends so far that it is > misinterpeted as UD? I am due to make an appt with my Dr. and don't > want to portray that I question his judgement. But would an MRI > confirm my UD? Should I request this? I would just like to go into > this journey with as much info up front about the particular MA I > have so we can be better prepared/accepting of what can happen along > the way, in that a septum could give far more trouble than UD. > Thanks > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 21, 2001 Report Share Posted December 21, 2001 I'm afraid I have no advice, but I do share your wonder at misdiagnosing - my doctor (ob/gyn) just did a laparascopy/hysteroscopy in which she diagnosed me with a " huge " septum. Yes, I have miscarried twice, but I also have a two year old who was 8 lbs and healthy at birth. And I can't help but wonder, could she be wrong? Could I have a bicornate uterus instead of a septum? Keep us updated on what you find out- > I haven't posted in a while. But the topic of TTC has come up for us. > There has been posts of misdiagnosis, so in the back of my mind I > still worry. I have UD (bicollis)diagnosed through US. I am > confortable with this, and with the idea that I could have a long > road ahead of me with some possible upsets along the way. In some > senses I am greatful that I have UD, b/c it seems to have higher > success rates than other MA's. But could I be mis-diagnosed? Is there > a chance than I could have a septum, that extends so far that it is > misinterpeted as UD? I am due to make an appt with my Dr. and don't > want to portray that I question his judgement. But would an MRI > confirm my UD? Should I request this? I would just like to go into > this journey with as much info up front about the particular MA I > have so we can be better prepared/accepting of what can happen along > the way, in that a septum could give far more trouble than UD. > Thanks > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 21, 2001 Report Share Posted December 21, 2001 <<doctor (ob/gyn) just did a laparascopy/hysteroscopy in which she diagnosed me with a " huge " septum. Yes, I have miscarried twice, but I also have a two year old who was 8 lbs and healthy at birth. And I can't help but wonder, could she be wrong? Could I have a bicornate uterus instead of a septum? >> , You have had the most accurate procedures to differentiate between a BU and SU--a lap/hyst. I would tend to believe the diagnosis that comes from it. This is just a general comment. There seems to be some misinformation about the diagnostic values of MRI and HSG here on the list. Anything: US, HSG, MRI, SHG, Lap/hyst, hysteroscopy alone, lap alone, c-section, pelvic exam . .. . anything like that can *detect* an anomaly, but there is nothing better than direct visualization (laparotomy, lap-hyst, c-section, hysteroscopy) to figure out what the problem is. Even these have their problems, because the pregnant uterus is in an unusual shape at term, and just seeing a dent in the top of the uterus (or none at all) during a laparoscopy gives little or no information about the presence of a poorly vascularized septum or the lack of one. Detection is one thing, but differentiating between anomalies is another. The best diagnostic test to differentiate between SU & BU is a lap/hyst, but of course it is quite invasive. MRI has a lot of differentiating value, but because of the way the uterus may be tilted and how various tissues show up, accuracy does suffer. (I was originally going to have an MRI until the radiologist talked my OB-GYN out of it) US and SHG can differentiate between BU and SU in select cases, but is not considered to be particularly reliable. What will not differentiate: HSG is arguably the best way to show what's inside the uterus, shows the exact contour of the cavity, and determines tubal patency, but absolutely does not differentiate between BU and SU (some say that if the angle between the horns is > 75%, then it is a likely BU, but this is also not reliable, as many septa can be very, very wide.) Visualizing the cervix/cervices will not differentiate between anything except a bicollis/unicollis condition. HTH, Beth -- full septum reduced to partial septum Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 22, 2001 Report Share Posted December 22, 2001 I had an ultrasound, sonahystogram and MRI to diagnose my BU. They did the MRI last and it was a definite diagnosis. I would ask for one if you are at all uncomfortable. Take care, Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 22, 2001 Report Share Posted December 22, 2001 I had an ultrasound, sonahystogram and MRI to diagnose my BU. They did the MRI last and it was a definite diagnosis. I would ask for one if you are at all uncomfortable. Take care, Quote Link to comment Share on other sites More sharing options...
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