Re: choosing re (late term loss ment)SU

[Guest guest]

Hi!

First, let me say that I'm so sorry for the loss of your son.

<<He has suggested a saline ultrasound to diagnos my suspected SU.

He said he will determine from that test whether or not hyst only or

lap/hyst surgery.>>

I would be nervous to rely solely on a saline ultrasound to

determine if you were BU or SU. I had an MRI to determine mine and

we had a great image of the outer contour of my uterus and could

tell that there was only a SLIGHT fundal dip. Even with the great

view, I was still nervous to have my surgery with just hysteroscope

and not laporoscope. The saline ultrasound cannot view the outer

fundal contour. Some doctors feel that they can tell if the uterus

is BU or SU by the demensions of the septum, but this isn't the

ideal way to tell. My septum was VERY broad and thick and could

easily have been mistaken for a BU.

<<Also he put me on the pill so that we could schedule the surgery

whenever. (otherwise would have to wait till dec 20th ! for the

right day of my cycle and his availability.)Does this make sense?>>

This does make sense to me. I had to wait a month and a half for my

surgery because of my cycle and doctor availability.

<<The other re is at a teaching hospital which means a resident

would be in case. He wants to do an MRI to diagnos. Anyone have

feeling one way or the other as far as which method of diagnosis

better or is it the doctors preference?>>

I had my experienced RE and 2 residents in for my surgery. They

were there to witness the resection being done, but my RE did the

actual resection. I would be sure that your doctor would be doing

the actual resection, just to feel safe. I would feel more

comfortable with Dr. #2, just because I'm a little doubtful of Dr.

#1's view that a saline ultrasound is enough to differentiate SU

from BU. He may be a little more old-school and not as up to date

on the new techniques for resection surgery.

I would suggest you talk to the doctors to learn that if you are SU,

and you have the septum resected, what follow up will be provided.

I was very determined to have a saline ultra sound or HSG after the

surgery to make sure that my uterus was whole. My doctor put in a

balloon catheter and prescribed estrogen. I couldn't take the

estrogen because of migraines, but he said that was fine and I'm now

on my first official month ttc.

Good luck to you, and I hope you are able to push to get the medical

care you deserve. I found that I had to keep asking and pushing to

get the treatment I deserve! It was tiring, but well worth it.

Jasmine

SU, resected 7/29/04

1 silent m/c, 17 weeks, 2/12/04

[Guest guest]

Hello,

I'm sorry to hear about the loss of your son.

I just had a septum resectioned on 10/5. My RE could not tell

whether I had a BU or SU by the saline ultrasound. He could just

make an educated guess that I have one or the other. He had to do

the hysteroscopy/laparoscopy in order to determine which it was and

he fixed it at the same time.

I do know that the MRI would show a BU, but the test is expensive

and my RE suspected endo as well so we just moved onto surgery

without the MRI.

I would go with doctor number two.

[Guest guest]

I forgot to add one thing...

My RE monitored when I started my period in September. Based on the

date they put me on the pill so that my surgery would not be

affected.