Re: am I SU or UD?doctors disagree(long)

December 8, 2004

Hi . I am in the same boat as you which is amazing. I had

been diagnosed with UD in the Spring of 2001 by an RE after a

miscarriage, had a successful pregnancy and delivered in Sept of

2002, had a miscarriage in Sept 2003, and in Sept 2004 went to a

different RE to get some help conceiving and she said I had definite

complete septum with one cervix divided by the septum that goes into

my vagina creating a partial septum there as well. So we scheduled

surgery for resection due to my two miscarriages and I found out a

week later I was pregnant. I was so scared but I'm now 15 1/2 weeks

and all is well. So I was released back to my regular OB who says

there's no way I have septate uterus because he sees two distinct

cervixes. Lovely. I have read of 2 reported cases in the country

of women with a septate uterus AND 2 cervixes. I will be seeing a

perinatologist on the 20th and hopefully they'll be able to get me

some accurate answers and they'll co-manage this pregnancy with my

OB to prepare me for any complications. Oh, and this baby is on the

opposite side of where my daughter was, so everything is new and

different this time! =) Good luck! Let me know what you find out!

UD or SU is anyone's guess =)

>

> Hi, everyone, my name is . I posted here a few weeks about

how

> I found out that I have a complete septated uterus. Today I went

to

> see 2nd RE whom I feel have more experiences and want to have the

> surgery with. But after she looked at my MRI, she disagreed with

1st

> RE and thought that I am more likely to be UD instead of SU. Two

> doctors disagree with how to define the contour of the uterine

fundus

> (I don't know how to explain it well): black outline is relatively

> flat so 1st RE thinks that is the contour so I should be SU; but

> there is also gray outline which shows the concavity, so 2nd RE

> thinks that is the contour so I should be UD.

> My cervix is also divided. I don't know it is one cervix divided

by a

> septum or two single cervix, and I also have partial vagina septum.

> 2nd RE told me that my case is complicated one in septum insection

> surgery. Not like most ladies who have sub or partial uterine

septum,

> the doctor knows where to start cutting in Lap/Hys, in my case

they

> don't know where to start, so they will make a cross

like " X " ...She

> said in theory all the doctors know what to do, but technically

the

> surgery will be very tricky. 2nd RE questioned that 1st RE may not

> have a lot surgery experiences and didn't think through about

> details.

> Basically, my 2nd RE said she thought I am UD, no surgery

correction

> needed for UD; even if I am SU, after weighing the technical risk

of

> my insection she thinks the best plan for me is to try to get

> pregnant, see how it will go. I am 29, and have not tried to get

> pregnant before. She said if I have recurrent miscarriage, she

will

> push me to do surgery, but now she wants to leave my uterus

untouched

> and wants me to do best to have a pregnancy.

> I am so confused after the appointment. I even wonder maybe I am

BU

> now. I like 2nd RE and she sees more MA patients than 1st RE. But

can

> I handle my nerve in 10 months, 40 weeks pregnancy if I can go

that

> far? I want to ask anyone here know the successful septum

resection

> example with complete septated uterus and cervix?

>

> Thank you all for the support.

>

December 9, 2004

>>>So I was released back to my regular OB who says

> there's no way I have septate uterus because he sees two distinct

> cervixes. Lovely. I have read of 2 reported cases in the country

> of women with a septate uterus AND 2 cervixes.

,

Sorry for spacing out when I read one of your prior posts. I should

have mentioned that although it is RARE, it IS possible to be SU

bicollis (SU with 2 cervices)! We had 2 members. One of them,

is still active on the MA Cafe board. I will let her know

about your post. Her dr was vigilant in her diagnosis and she did

have the resection surgery. Shortly afterward she found herself pg

for the 3rd time and carried uneventfully and delivered a son via

csection (I believe he was breech). But the interesting thing is

that only one cervix dilated for the delivery - none of the drs knew

what to expect. I imagine that your dr will have to be very observant

and open minded to determine if you are also an SU bicollis. Some

drs want to think that we all fit " neatly " into a category, but the

truth is that there are a lot of " shades of gray " between the

anomalies...we have a few SU bicollis, and many SU/BU combo platters -

LOL. None of them fit into a category.

Sara

SU resected x2

dd 14 mos, #2 32w6d

December 9, 2004

>

> I have read of 2 reported cases in the country

> of women with a septate uterus AND 2 cervixes. I will be seeing a

> perinatologist on the 20th and hopefully they'll be able to get me

> some accurate answers and they'll co-manage this pregnancy with my

> OB to prepare me for any complications. Oh, and this baby is on

the

> opposite side of where my daughter was, so everything is new and

> different this time! =) Good luck! Let me know what you find out!

>

> UD or SU is anyone's guess =)

Hi ,

I have been reading this board for more than 2 years now and there

have been maybe a dozen women (who I've noticed - I don't read as

regularly as I used to) diagnosed with SU with 2 cervices (SU

Bicollis). One that springs to mind is Golbeck who hangs out

more on the MA-Cafe (the sister group to this main MA board)... you

could go post over there and she can probably refer you to quite a

few others and/or case studies. It's not all that rare, I think...

Perhaps SU-bicollis is often misdiagnosed as UD, just like regular

single-cervix SU is often misdiagnosed as BU.

Good luck with this pregnancy! FWIW, I've had 2 succesful

pregnancies in my SU (and yeah, it's SU, not BU, we've had 2 c-

sections now that say so)

SU unresected

dd 6-13-03

ds 8-26-04

December 9, 2004