Re: Please HELP! (loss ment, pg ment)

[Guest guest]

-Hi ,

You post breaks my heart; I am so very sorry for the loss of .

I cannot imagine the pain you've been through losing him.

For me, this has been a great group. I have learned so much here and

there is a lot of compassion and support. I think that you will find

some answers here.

You may already know a lot of this, but some of it may help and

please continue to ask questions so that you are really well informed

for your next appt.

An HSG cannot tell the difference btwn BU and SU...it can only tell

that the uterus is not normal and that something is dividing it

(either partially or fully). The gold standard for telling a BU from

an SU is to do an outpatient surgery called

laparoscopy/hysteroscopy. The lap is put in through 2 or more tiny

incisions in your tummy to look at the outside contour of the uterus

through a camera. If the outside looks like a " normal " uterus

(perfectly round at the top) then you are likely SU and the tissue

that is dividing your uterus on the interior surface can be easily

resected at that time by the insertion of the hysteroscope through

your cervix. The hys has cutting or lasering instruments that are

attached and the whole procedure is over in 30-60 minutes.

What's a BU? A BU is a uterus that is " heart-shaped " on the outside

and inside. The tissue that makes up the part that dips down and

divides the 2 sides is healthy muscle (myometrium), the same stuff

that the rest of the uterus is made of. BUs may not have the same

amount of space as a normal uterus, so drs would watch you for signs

of growth restriction, incompetant cervix, breech presentation, etc.

But the good news is that BUs do not cause early m/c. The risk they

pose is one of running out of space as the baby gets bigger and

possibly causing the cervix to give way because of lack of space.

The normal recommendation is to not have surgery on a BU. ESPECIALLY

in your case because you already had one uneventful pg - if you are

BU you are probably low risk based on your pg w/ .

In an SU however, the tissue that is resected is the cause of many

early m/c because it is not supplied with a lot of bloodflow like the

myometrium. Also, it is not stretchy like muscle and sometimes it

will force a late m/c b/c baby runs out of space and the septum won't

move. It is HIGHLY recommended to remove a septum esp. because it is

a rather easy outpatient surgery and the results restore a uterus to

the same performance as a " normal " uterus.

I read your later question and YES...it is possible to have a BU/SU

combination uterus. We have a few memebers here with that. The best

way for your dr to know for sure is to do the lap/hys. If you have

the " combo platter " (as we affectionately call it here!) then your dr

will determine how much, if any can be resected. I just want to warn

you that a lot of drs use the words 'septum " and 'bicornuate'

interchangeably. They talk like anything that divides a uterus makes

you BU and the thingy dividing it is called a septum...radiologists

are the worst offenders of this incorrect use of

terminology...probably followed by ob/gynes. An RE would be your

best bet to do the surgery.

We have lots of different types of MAs here and some of them do not

fit the textbook definitions. So, feel free to ask lots of

questions.

I found out that my uterus was not normal after my 1st pg m/c at 12

wks. I found this group and pushed for a correct diagnosis before

ttcing again. My ob told me I was BU based on my HSGs, but I found

an RE that did the lap/hys. Long story short, I needed 2 surgeries

to fully resect a septum that was 1/3 the length of my uterus (the ob

was wrong about BU and she had told me not to worry and to ttc after

my first loss). I later had a very early m/c but went on to do

fertility treatments and have a daughter who was born about a year

ago. We were fortunate enough to get pg again quickly on our own and

now am expecting #2 in Jan.

I would recommend doing the surgery so that your dr can determine if

you are BU or SU. If BU, he will leave you alone and if SU he can do

the resection. AFter all you have been through, I don't think that I

could stand the anxiety of being pg and wondering if I was SU or

not. The lap/hys would provide so much reassurance. Be sure to ask

your dr how long he has done these resections and if he does them

often and how many have needed a 2nd surgery. I also recommend that

he perform some kind of follow-up test to confirm that the resection

was successful (if SU).

Again, welcome to the group. I wish you all the best and hope you

find the answers you need.

Sara

37, SU resected x2

[Guest guest]

Sara, thank you SO MUCH for all of your information. You have no

idea how much it helps. God bless you. Thank you. Good luck with

the rest of your pregnancy )

I may be in touch (I'm in a bit of a hurry now)

Sincerely~

> -Hi ,

> You post breaks my heart; I am so very sorry for the loss of

.

> I cannot imagine the pain you've been through losing him.

>

> For me, this has been a great group. I have learned so much here

and

> there is a lot of compassion and support. I think that you will

find

> some answers here.

>

> You may already know a lot of this, but some of it may help and

> please continue to ask questions so that you are really well

informed

> for your next appt.

>

> An HSG cannot tell the difference btwn BU and SU...it can only

tell

> that the uterus is not normal and that something is dividing it

> (either partially or fully). The gold standard for telling a BU

from

> an SU is to do an outpatient surgery called

> laparoscopy/hysteroscopy. The lap is put in through 2 or more

tiny

> incisions in your tummy to look at the outside contour of the

uterus

> through a camera. If the outside looks like a " normal " uterus

> (perfectly round at the top) then you are likely SU and the tissue

> that is dividing your uterus on the interior surface can be easily

> resected at that time by the insertion of the hysteroscope through

> your cervix. The hys has cutting or lasering instruments that are

> attached and the whole procedure is over in 30-60 minutes.

>

> What's a BU? A BU is a uterus that is " heart-shaped " on the

outside

> and inside. The tissue that makes up the part that dips down and

> divides the 2 sides is healthy muscle (myometrium), the same stuff

> that the rest of the uterus is made of. BUs may not have the same

> amount of space as a normal uterus, so drs would watch you for

signs

> of growth restriction, incompetant cervix, breech presentation,

etc.

> But the good news is that BUs do not cause early m/c. The risk

they

> pose is one of running out of space as the baby gets bigger and

> possibly causing the cervix to give way because of lack of space.

> The normal recommendation is to not have surgery on a BU.

ESPECIALLY

> in your case because you already had one uneventful pg - if you

are

> BU you are probably low risk based on your pg w/ .

>

> In an SU however, the tissue that is resected is the cause of many

> early m/c because it is not supplied with a lot of bloodflow like

the

> myometrium. Also, it is not stretchy like muscle and sometimes it

> will force a late m/c b/c baby runs out of space and the septum

won't

> move. It is HIGHLY recommended to remove a septum esp. because it

is

> a rather easy outpatient surgery and the results restore a uterus

to

> the same performance as a " normal " uterus.

>

> I read your later question and YES...it is possible to have a

BU/SU

> combination uterus. We have a few memebers here with that. The

best

> way for your dr to know for sure is to do the lap/hys. If you

have

> the " combo platter " (as we affectionately call it here!) then your

dr

> will determine how much, if any can be resected. I just want to

warn

> you that a lot of drs use the words 'septum " and 'bicornuate'

> interchangeably. They talk like anything that divides a uterus

makes

> you BU and the thingy dividing it is called a

septum...radiologists

> are the worst offenders of this incorrect use of

> terminology...probably followed by ob/gynes. An RE would be your

> best bet to do the surgery.

>

> We have lots of different types of MAs here and some of them do

not

> fit the textbook definitions. So, feel free to ask lots of

> questions.

>

> I found out that my uterus was not normal after my 1st pg m/c at

12

> wks. I found this group and pushed for a correct diagnosis before

> ttcing again. My ob told me I was BU based on my HSGs, but I

found

> an RE that did the lap/hys. Long story short, I needed 2

surgeries

> to fully resect a septum that was 1/3 the length of my uterus (the

ob

> was wrong about BU and she had told me not to worry and to ttc

after

> my first loss). I later had a very early m/c but went on to do

> fertility treatments and have a daughter who was born about a year

> ago. We were fortunate enough to get pg again quickly on our own

and

> now am expecting #2 in Jan.

>

> I would recommend doing the surgery so that your dr can determine

if

> you are BU or SU. If BU, he will leave you alone and if SU he can

do

> the resection. AFter all you have been through, I don't think

that I

> could stand the anxiety of being pg and wondering if I was SU or

> not. The lap/hys would provide so much reassurance. Be sure to

ask

> your dr how long he has done these resections and if he does them

> often and how many have needed a 2nd surgery. I also recommend

that

> he perform some kind of follow-up test to confirm that the

resection

> was successful (if SU).

>

> Again, welcome to the group. I wish you all the best and hope you

> find the answers you need.

> Sara

> 37, SU resected x2