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Re: A third metroplasty?

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>I sent an e-mail to a Dr. Olive who is soon coming to my home state

>(Wisconsin), inquiring about his practice. He did say that it could be

>that I needed a third metroplasty, and would be happy to treat me, when and

>if, given more details, of course. He'll be a professor and chief of

>Reproductive Endocrinology at the University of Wisconsin med school in

>Madison.

>I think I will consider this, if the next half dozen IUIs don't work, or if

>I have another miscarriage. I have a short septum at the top of my uterine

>cavity and septum at the bottom, too . . . or an adhesion. Whatever it is

>at the bottom, it should really go.

Hi Beth,

Sounds like a third metroplasty is something to consider, if , as you say,

the circumstances don't work in your favour for a pregnancy before that.

(But I sure hope they do!) Playing the waiting game isn't fun. Having a MA

and going through all of the diagnosing and surgery and waiting to TTC has

given me a BIG lesson in patience - I've never been a very patient person :)

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Beth,

What are the measurements of your residual septum? I have about 1/2 cm of

residual septum at the top of my uterus and it should probably considered

negligible. The endometrium should have developed over the residual septum

and a fetus would probably be able to survive if it gets implanted on that

area since it would have some blood supply.

I wouldn't go for a third surgery as I believe that any baby can survive in

my uterus cavity. I think my MA case is similar as yours. Have you had an

infertility workup? Have you ever considered IVF?

Wish you all the best for 2002 and may it bring a miracle for you!

Rita

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> What are the measurements of your residual septum? I have about 1/2

cm of

> residual septum at the top of my uterus and it should probably

considered

> negligible. The endometrium should have developed over the residual

septum

> and a fetus would probably be able to survive if it gets implanted

on that

> area since it would have some blood supply.

Hi Rita,

I have about 1 cm. left on top, and a good decidual response on the

cut septum area during pregnancy (that is, the cut area is now

covered with good endometrium). The problem is that either the very

tip of my septum is still there, or an adhesion is formed--by the

cervix. I still have two inner cervical openings. I have asked and

asked about this and all the doctors say is that they do not know how

this will affect a pregnancy and the development of the lower segment

of the uterus in later pregnancy. It could cause fetal restriction,

a cord accident, or PTL . . . hard to say right now.

So if by July I am not on my way to being a mom, I will consider this

surgery again. Already having one baby die rather late, I don't want

to go through it again.

But the 1 cm. at the fundus is really no problem. :-) If that was

all I had, I wouldn't worry about it, either.

>Have you had an

> infertility workup?

Oh yes . . . all the hormone tests, ultrasounds and so forth. My

septum was just the latest discovery . . . my infertility plate is

heaping full, LOL.

>Have you ever considered IVF?

Not for very long. It's so expensive, plus I seem able to conceive

okay with just donor IUI.

> Wish you all the best for 2002 and may it bring a miracle for you!

And likewise for you! :-)

Beth

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