Re: another question re:vag. septum removal/dx procedures

[Guest guest]

My OB is also an OB surgeon and has suggested removing my

> vaginal septum (due to discomfort that I experience), followed by

an

> HSG which would be more tolerable once the septum is removed.

,

I can't speak from experience on the vaginal septum correction, but

can identify with a dx that is somewhat " muddy " . After severl u/s

(incl. transvaginal), HSG, SHG and MRI, my doc still isn't 100% sure

that I have SU (partial). So we are looking at the good 'ol lap/hyst

for final dx confirmation.

Although my OB was also an " OB Surgeon " , he quickly referred me to an

RE because it will streamline correction of an MA, if necessary. And

for the record...I'm not the most patient person when it comes to

getting these things taken care of ASAP so we get the green light to

TTC.

If you want to streamline the dx and correction, I'd push for

lap/hyst. There's no guarantee that HSG will give a solid dx...and

you'll be on the OR table anyway with the vaginal septum resection.

You should strongly consider the surgical experience level of your OB

as well. Some may be in the OR all the time, but how many cases like

your has he/she surgically treated? I'm told from an OB/GYN friend

of mine that no doc should be insulted or offended to be asked how

experienced they are on similar issues. If they are, she told me to

run the other direction. I would probably push strongly for a

referral to an RE that works specifically with MA's...but that's me.

At the end of the day, you need to feel comfortable with your doc (RE

or not) and the plan of action that you create TOGETHER. Be

tactfully proactive with your doc to rethink his/her plans if

discussions with women on this Board make you feel like another

course makes more sense. They should have your best interest in mind.

Hope this helps!

Kristi

31, 1 m/c

Partial SU (...we think)

[Guest guest]

> I'm wondering if I should suggest that he do a lap/hyst at the

same

> time as the vag. septum removal or if the lap/hyst will be more

> invasive then the vag. surgery

Hi - The lap/hys is pretty invasive as far as procedures go.

Two small incisions are made in your abdominal wall, one through

your belly button and another lower down. They pump your adbominal

cavity with gas to make things easier to see, and they send in a

camera to look at the outside of your uterus. This almost always

involves general anesthesia. Although it is normally done on an

outpatient basis, it is still pretty hefty and involves at least a

week of taking it easy and at least a couple more to get back to

your old self.

If the uterus appears " normal " from the outside, and they have

imaged the inside shape of your uterus with u/s and hsg, you have

SU. A BU shows on the outside shape of the uterus.

I known that HSG is not 100% in

> differentiating SU and BU

HSG is 0% effective in differentiating SU and BU. They look the

same in HSG. The only way to tell the difference is to look at the

outside of the uterus, some say MRI is effective, any comments on

that? Anything other than lap/hys and the doc will be guessing.

Wishing you a smooth recovery from the vag septum removal, and if

you do have lap/hys, hoping it goes well and recovery is quick and

easy!

Kind regards,