(surgery weaken my uterus?) (loss ment.)

[Guest guest]

Hi ,

I'm glad that my response was helpful.

Also, I wonder if this is less

> disruptive than a c-section (which cuts through the wall for sure,

right?)

Absolutely correct...the c-section cuts through the wall of the

uterus completely so that the baby can be removed. This is how

they " USED " to also do the septum resection (this is what abdominal

metroplasty is). But now, they only insert the cutting instrument

(the hysteroscope) through the cervix and remove the septum from

INSIDE the uterus...so the wall of the uterus is never cut (unless

they accidentally rupture it, which is not common, but certainly a

risk to be aware of although it is not the end of the world.)

And you are right...csections are common and women recover from those

and go on to have other children via csection with no problem, so it

is something to discuss later with your dr and be aware of, but not

necessarily something to worry about.

>>-- with the resection surgery, how

> long does it take for new endometrium to grow over the surgical

site? Is it

> really okay to TTC 2 mos. after resection? Is that area still not a

good place for

> the baby to connect because it was once part of the septum (blood

flow

> issues?)

There has been TONS of discussion about this here. General concensus

seems to be that it is safest to wait 2 mos to ttc. After my 2nd

surgery the RE said that we could ttc right away and I asked, " but

shouldn't I wait a couple months for the endometrium to heal over "

and he agreed that one month would be enough. I knew I was impatient

and wanted to ttc right away, so I was happy he said one month and

not 2. INcredibly I got pg that month, but it ended immediately as a

chemical pg. Now, maybe it was a chromosomal prob, but I also knew

that there was a chance I was jumping the gun too soon for healing to

be complete. What has been described here is that at the end of the

first cycle, most of the endometrium may have grown back, but there

are areas that may not be covered and inflammation from healing may

still be a problem. Therefore it is best to wait a 2nd cycle for the

endo to grow in nice and thick over the septum. And YES it will grow

completely over any remaining septum wall and the embryo will happily

plant there because the endo is covering it. The placenta can also

move around it it thinks a shift in position would be beneficial.

There have been a lot of women here with 1-1.5 cm of septum left

after surgery and they have had successful pg.

There is another question to ask your dr before surgery...what is his

threshold or tolerance for allowing remnant septum to remain without

recommending a 2nd surgery. My 2nd surgery was a no brainer....even

though dr #1 disagreed with me. My septum was completely intact.

But the literature supports that 1 cm remaining is still safe and

should not interfere with a pg. There are a few members here that

had slightly more than that after surgery and went onto having

perfect pgs without a 2nd surgery. I don't mean to be a pessimist,

it's just something to make your dr think about ahead of time. Also,

I'd insist on some kind of during-surgery or post-surgery testing

(HSG, SHG or in-office hys) to prove that the surgery was

successful. It's very reassuring to know that the big-bad-septum is

gone!

Sorry...my response was kinda long! HTH

Sara

SU resected x2