: Re Diagnostic hyst - what do you think?

[Guest guest]

Sorry yes, I did mean IUD. I was about to have IUI (because of my PCOS) when I found out that that I had AS - hence the confusion. He only used the heteroscope (is that the correct word) to break the adhesions. I didn't do any burning or lasering - he was well aware that he wasn't expert enough to attempt to do anything like that. What I am unsure about is, is just breaking the adhesions enough to stop them reforming or should they be cut away.

He has put me on estrogen for 3 weeks, then progesterone for 1 week - for three cycles.

What do you think? Thanks for replying.

Sam

[Guest guest]

Sam,

Okay, again it's always better to ask a doctor since we are all

civilians but here's what I think:

I don't know what a heteroscope is, but if the doctor says he was

able to brush the adhesions away, that sounds very good, because it

must mean the adhesions were mild. Usually adhesions can't just be

brushed away, they have to be cut. (Don't ever let anyone try to burn

them or laser them, that is not a good treatment for them, it can

actually make them worse.)

In answer to your question, yes, it is pretty typical to remove the

adhesions and then check again in three months to see if any

adhesions have returned. Usually, if the adhesions were mild, they

don't return. How is he planning to check? Hysteroscopy is the gold

standard for checking to see if you have adhesions (since they

actually look inside the uterus with a camera), but HSG (a sort of

ultrasound where they fill your uterus with fluid first to get a

better picture) is also an accepted way to do it.

Your hormone treatment is also typical. Most doctors only give the

hormones for one month I think (three weeks of estrogen to build up

the uterine lining, and then one week of progesterone to make you

have a period), but three months probably can't hurt. The theory

behind the hormones is that estrogen helps build up your uterine

lining, which helps prevent adhesions from forming. Even if you

weren't taking the hormones all three months, you would still need to

wait three months to check if the adhesions had returned, so it's not

like the hormones are the reason you have to wait.

The reason it's wise to wait three months is: If the adhesions

haven't returned by then, you'll know you really are adhesion-free

and don't have to worry about it anymore.

Does this help? If anyone else has comments or thinks I've said

something wrong, please correct me!!!

G.

[Guest guest]

Sam,

One more thing--

Mild adhesions are usually treated successfully (that is, they

usually do not return). So try not to worry too much while waiting

the three months! Statistically you have an excellent chance of a

good outcome.

Best wishes,

G.