RE: Bu thin about having resection....due to miscarriage

[Guest guest]

Jenn -

First off, I am so sorry to hear of your news. I, like many others around

here, know exactly what you're feeling. How long a natural miscarriage

takes can depend on your body. For some people it takes a couple of weeks,

for others, it takes much much longer than that (I've heard 6 weeks or

more). I've always chosen to have the D & C for two reasons. First, I've

read that a mother's emotional recovery is much easier with a D & C. Second,

because I was bleeding constantly, the D & C was medically safer for me. It

does require general anesthesia, though, so there are risks. I've found

that it's not a particularly difficult procedure, though.

If you're truly BU, then you cannot be resected. Most doctors prefer to

leave BUs alone. From what I understand, the medical reason is that a BU

means that the entire interior of the uterus is myometrium (stretchy,

well-blood-supplied, uterine tissue), so the pregnancy success rates are

high enough that surgical intervention is not recommended. The only

surgical intervention I've ever heard of being offered to a BU is called a

metroplasty, where they make an incision in your stomach and surgically

reshape your uterus. It is major, major surgery and fairly rare. There

are, however, a couple of women around here who have had it done, I think.

If you're SU, I believe most doctors recommend a surgical resection. From

what I've read, this is because most septums are made of fibrous tissue,

which has a much lower blood supply and does not stretch as well as uterine

tissue. The septoplasty is done with a laparoscope and a hysteroscope and

is an outpatient procedure (for me, it was about the same in terms of

physical recovery as a D & C). Depending on your doctor's protocol, most

women around here have been told to wait between 1 and 3 cycles to start

trying again post-resection.

My doctors suspected that I was SU instead of BU because I was having first

trimester miscarriages. They tell me that typically SUs have problems early

in pregnancy, while BUs have late-term problems. The consensus around here

is that best way to differentiate is to have a hysteroscopy/laparoscopy,

where they examine both the interior and exterior of the uterus. If they

find a septum, they can remove it then. If they find that you're BU,

they'll generally leave well enough alone and you'll have to have a second

surgery if you want to have a metroplasty.

Depending on what's going on with you, if you choose to have the D & C, you

can ask your OB to try to take a look with a hysteroscope at the same time.

If you're not bleeding too heavily, s/he might be able to see something

(like a septum). I would, however, recommend leaving resection to the

specialists (an RE).

Good luck to you during this difficult time.

, SU (resected 12/04), 2 m/c

[Guest guest]

Hi Jenn, I'm BU so I really don't have the information that you're looking for.

I just wanted to let you know that I will be thinking about you and praying for

you this week. Please email if you need to talk.

Lori

Bu thin about having resection....due to

miscarriage

Hi, I just found out yesturday that the baby has no heartbeat. I am

going to wait for everything to happen naturally instead of having a

d & C. I was wondering how long that normally takes? I was also

thinking maybe I should have the resection? I need some info on

that if any one could help me. I would like to know the recovery

time and how long you have to wait to get pregnant again. Thanks.

Jenn

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[Guest guest]

Hi Jenn, Lori here again. I didn't realize that you are BU, too. I didn't know

that they do resection for BU. I'm learning as I go, too. Sorry for any

confusion in my previous email. I hope you find the answers you're looking for.

Lori

Bu thin about having resection....due to

miscarriage

Hi, I just found out yesturday that the baby has no heartbeat. I am

going to wait for everything to happen naturally instead of having a

d & C. I was wondering how long that normally takes? I was also

thinking maybe I should have the resection? I need some info on

that if any one could help me. I would like to know the recovery

time and how long you have to wait to get pregnant again. Thanks.

Jenn

Share bookmarks: http://groups.yahoo.com/group/MullerianAnomalies/links/

Share files:

http://groups.yahoo.com/group/MullerianAnomalies/files/

The Congenital Uterine Anomalies Home Page:

http://www.wegrokit.com/uterineanomalies/

es/

The Congenital Uterine Anomalies Home Page:

http://www.wegrokit.com/uterineanomalies/

[Guest guest]

Jenn,

I am so sorry for your loss. After my m/c I had a d & c so I can't

answer how long it takes to happen naturally.

In answer to your question about resection, I was diagnosed with a

BU/SU combo, and I did have an abdominal metroplasty to repair it.

Like other posters said, it is not a common procedure, but REs will

find it indicated in some cases. In mine it was because of the combo

nature of my anomaly and the fact that while there was one section

that was unvascular, it dipped far down into the uterus so a resection

was not possible.

So my RE opened up my abdomen and totally reconstructed my uterus. It

was a very major surgery, and recovery was not easy, but I'm so happy

I did it. I was asked to wait to ttc for at least 6 months, but after

waiting for that time I now find myself pg again (10w1d). I'm hoping

for the best, and there are others on this list who've had the same

surgery with successful outcomes.

So abdominal surgery IS a possibility, but only in certain

circumstances. If you do have an SU it would be a much less invasive

repair.

Good luck,

Caroline

>

> Hi, I just found out yesturday that the baby has no heartbeat. I am

> going to wait for everything to happen naturally instead of having a

> d & C. I was wondering how long that normally takes? I was also

> thinking maybe I should have the resection? I need some info on

> that if any one could help me. I would like to know the recovery

> time and how long you have to wait to get pregnant again. Thanks.

> Jenn