/Poly

[Guest guest]

: I saw your message about types of scarring. Yes, there are two

types as Poly described but I respectfully disagree with Poly on one

point - which one is " better " or worse.

When you have " flat scarring " the scar tissue lies flat on the

surfaces of the uterine wall. It is hard to remove because you need

surgeon that is skilled enough to remove only the scarring and not

dig " too deep " so as to damage the basal endometrium level underneath

the scarring. Very difficult surgery to say the least which is why

having the MOST experienced hysteroscopist you can find is so

important. (Remember I saw a doctor who told me I had NO LIVING

endometrium? When Dr. Valle did a preliminary, PRE-surgical

measurement of my endometrium he saw 7.3mm of endometrium in there

and that was BEFORE scar removal....my " old " doctor just wasn't

skilled enough to tell the difference between scar tissue and

endometrium!)

When you have scarring (as I did) that " collapses " the uterus,

or " fills " the uterus if you will, obliterating the cavity, then you

have a two-pronged challenge. First, you need to clear away the

morass of scarring that has filled the cavity. THEN however, the

surgeon must remove the SOURCE of the scarring which is lying flat on

the uterine walls. In my opinion you can't have ONLY adhesive

scarring because those scars that " bind " the uterus have to come from

somewhere, and where they come from is the uterine wall.

So after the " web " of scarring has been removed, the surgeon still

needs to remove the " flat scarring " from which the web originated.

This is, (again another theory) why I think many women with less-

experienced doctors have recurrence of scar tissue after surgery.

Because the " web " may have been removed, but if the " base "

or " source " of the scarring (that flat scarring lying on the wall of

the uterus) is not removed at the same time, then it can reform and

regrow after being " distrubed " during the removal of the web-like

scarring.

So, I don't know that either is easy to remove at all....It is true

that some women are " lucky " (and I lose that term very loosely)

enough to have only very thin, filmy adhesive scarring that is easily

removed and is not accompanied by flat scarring, but I think that is

the exception and not the rule.

Hope this helps!

Gwen