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<<I ran this by a doc in our office who is an orthopedic surgeon (who

very kindly says he hopes you feel better).>>

Why, thank you and thank you. :-)

<<My

first instinct would be to keep invasive procedures (ie a lap to

visually see if there are adhesions) to a minimum (to avoid future

adhesions) but maybe a CT, MRI or US would be able to establish

what's there. I'll check it out!>>

Hmmm. The only other adhesion-detecting test I know of is HSG, and the 2

subsequent HSGs showed no loculation.

I would strongly suspect that pelvic adhesions would not refer pain to the

shoulders, but I'm open to suggestions. The only thing I have come across

that seems to fit my main pain and the etiology is actually " scapulocostal

syndrome. " It comes from poor posture and overextension injuries. That

would be my R. shoulder. My L. shoulder has pretty much healed itself, and

I have no idea what caused that pain, except that irritation to the phrenic

nerve would have caused pain just like it. Am thinking that the dye, saline

and CO2 that I had in my peritoneal cavity might have had lasting irritant

effect.

About Asherman's . . . there is a lot of doubt as to the nature of the band

in my lower uterine segment. Going by Occam's Razor, it is an uncut segment

of the original septum (my surgeon did a blind division). He looked the

second time and saw nothing unusual, yet the filling defect on the HSG

persists. You'd think that if it were an adhesion rather than a seamless

fibrous wall, he would have seen it. Plus adhesions with septum resection

are really rare. Plus I have no blockage or diminution of menstrual flow.

So I no longer tend to think that I have an adhesion in there.

<<Another thing to keep in the back of your mind is that if you DO tend

to form adhesions, could you have gotten a small muscle/connective

tissue tear that has developed scar tissue? >>

That is definitely something to think about. Thanks again!

--

Beth

SU

2 metroplasties

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