Re: , Corinna/Certification from Dr. Putz

[Guest guest]

, the certification has yet not been released since I am waiting for

Dr. Putz´s o.k. for the translation. I´d rather not have his name under

anything he hasn´t approved yet. I quoted out of it for a member to

underline the importance of finding a good doctor.

What I can do is this: You can use the text as it is now (unapproved) but

without his name under it. Does this help you?

This is it (thanks Gwen for your help!):

" To whom it may concern,

in 1948 Dr. Asherman was the first to

describe intrauterine adhesions caused by traumatic injuries of the

endometrium, resulting in menstrual disorder and secondary

infertility.

Intrauterine adhesions lead to a partially or fully closed cavity, thus a

lack of periods, miscarriages or infertility. The so called Asherman´s

Syndrome is a result of the endometrial lamina basalis being injured

(i.e. at a dilation and curettage) during the vulnerable phase of the

uterus post partum or post miscarriage / abortion.

Different severities for the cavity´s occlusion have been found. The most

common score is provided by the American Fertility Society differing

between three stages:

stage I = mild

stage II = moderate

stage III = severe

,.

Asherman´s Syndrome is found with a very low prevalence: only 4% of all

infertile patients with a story of a d & c (dilation and curettage)

post partum or post miscarriage develop Asherman´s Syndrome

2.

There is a German register of gynecological complications which states 19

cases of severe Asherman´s Syndrome in 2001 .

This simply explains why only very few surgeons worldwide can have enough

experience in treating Asherman´s Syndrome.

The lysis of adhesions via hysteroscopy is the best known method for the

treatment of Asherman´s Syndrome, at the same time it is the most

difficult hysteroscopical surgery to be doneperform .

Any other hPerforming a hysteroscopy usually allows for a the view of a

normal uterine cavity, making pathological abnormalities such as a septum

or myomas are easily detectableed.

A diagnosis of Asherman´s Syndrome on the contrary other hand means that

the surgeon won´t find a normally configurated cavity at all. Therefore

even experienced hysteroscopists consider it a very difficult hard task

to operate perform surgery on patients with Asherman´s Syndrome

successfully.

The low prevalence rate of Asherman´s Syndrome results in the fact that

it is rarely treated at the clinicsin a standard gynecologic practice or

clinic. Most hysteroscopists have never seen an Asherman´s Syndrome in

their entire career working life. Again, this clarifies why only very,

very few surgeons have withhold enough experience to perform operate an

Asherman´s Syndrome surgery successfully.

Being an excellent hysteroscopist does not automatically ensure enough

skill to treat Asherman´s Syndrome, since it demands a totally different

approach than any other hysteroscopical surgery.

If the lysis of adhesions via hysteroscopy is done with less competence

than outlined above, the patient faces either the worsening of the

condition (by provoking additional adhesions) resulting in thus

infertility, or severe complications such as the injury of the urinary

bladder, the rectum or other intestinal areas.

Conclusions: Taking into account (consideration ? better word?)

the very small number of patients with Asherman´s Syndrome, there can

be no doubt that only very, very few specialists worldwide are

experienced enough to treat this condition hysteroscopically with a

successful outcome. "

Let me now if this is of help, Corinna

At 05:50 27.12.02 +0000, you wrote:

Hi Corinna,

I have been trying to find the post of Dr. Putz certification as I

have a doctor's appointment tommorrow for an out of network

referral. I thought it might be helpful for to have his

information. I tried looking in previous posts and could not find

it.

Thanks,

B