Re: Thanks Tina - couple ?'s if you don't mind :)

[Guest guest]

Kris,

I thought I would pipe in a bit on your questions to Tina.

The jury is out as to whether MRI technology helps to distinquish

between BU and SU. The major factors affecting the outcome are (1)

the tech who does the films and (2) the level of experience the

radiologist has when reviewing films for MA's. Many time pictures

aren't taken right to clearly see the uterus on the proper

plane...and many radiologists either read the film incorrectly or are

incomplete when writing their report (e.g. they don't know the

importance between viewing a fundal indent - which indicates BU - vs.

not). Like I said, my case was referred to an RE because of an MRI

that was " suggestive " of a septum. After being re-read by a

radiologist that was VERY educated on uteri MRI pictures, she was not

concerned. Many RE's don't even order MRI's because of their

inconsistency.

Initial tests can be run by your OB/GYN, like the ordered HSG.

Depending on the outcome, she/he should then refer you to an RE if

there remains a concern of an MA.

Hope this helps,

Kristi

32, 1 m/c

ttc #1

> Thanks for the great information Tina.

>

> Was wondering if you've heard anything about a pelvic MRI

diagnosing

> the difference between a BU & SU?

>

> Also, I'm seeing just a regular OB. Do you recommend a reprod. end

> or high risk OB for MA's?

>

> Best,

> Kris

[Guest guest]

Kris

I'm glad Kristi piped in, because she went into a lot more detail

than I would have about MRI's! I actually asked my OB for one and

was told that I didn't need one...but I don't necessarily fault him

for that because OBs who don't get the opportunity to see many MAs

just don't know as much about them as a specialist does.

That said, my RE skipped MRI altogether and went right to lap/hyst.

He didn't even suggest an MRI - which leads me to believe he thinks

they are largely inconclusive as well. The only way to really know

for SURE whether you are BU or SU is the lap/hyst.

As far as what kind of specialist you should see, I think it is up to

you. Just make sure it is someone who has had a lot of experience

with MAs and who will do what it takes to get you a firm dx.

Tina

31, 2 m/c, SU resected

[Guest guest]

> Was wondering if you've heard anything about a pelvic MRI

diagnosing

> the difference between a BU & SU?

>

> Also, I'm seeing just a regular OB. Do you recommend a reprod. end

> or high risk OB for MA's?

Hi Kris,

Just thought I'd pipe in on your question. In SOME cases, MRI can be

used to distinguish between SU and BU, but not in all. Mine couldn't.

I had it hoping to avoid a lap hyst but my MRI wasn't clear enough.

Someone recently did a TON of research on how an MRI needs to be done

to be accurate (views etc) ... I'm blanking on who it was, but

hopefully she'll pipe up. You could also search the message archives

for " MRI " and skim through the posts (click " Next " and it will search

the next chunk of messages).

As far as RE vs high risk OB, you should consult with an RE for an

acurate diagnosis. They would also be the person who would perform

surgery if you needed a septum resection. Once all that is done and

you have the OK to try to concieve, you should make an apt with a

high risk OB - kind of a " meet & greet " . It took me a bit to get the

secretary to let me make a non-pregnant apt, but once I got there the

doctor and his nurse said it actually is a lot easier on them to meet

you first. That way, you have a history with them and they have a

plan in place for when you DO get pregnant.

Hope this helps,

(awaiting lap/hyst 4/15)