Re: Help - should I have an IUD fitted after resection surgery?

[Guest guest]

Alison, Welcome back!

I am so sorry to hear that you have had another loss. After all of

the testing you have been through to think that you may have an SU

after all. It's horrible that you have suffered this much without

any answers.

>

> My surgeon's technique is not to use any pre-operation hormones to

> thin the endometrium, but to perform the surgery as early as

> possible in the cycle after period finishes (day 6 or 7).

I needed 2 surgeries for my SU and neither surgeon used pre-op

hormones and both performed it before cd11. I think that this is

common practice. However, some docs don't mind doing the surgery

later in the cycle, but they are in the minority.

>>He will

> perform laparoscopy to see if there is a fundal dip, and in that

> instance will not operate unless the dip is only very small and

> there is enough uterine wall to cut.

Yay! Good plan.

>He uses electrocautery to cut

> and glycine to distend the uterus.

That's fine. I'm a supporter of letting each dr use the instrument

that he is most comfortable using. It seems like all methods work

well if done correctly.

>>He prescribes oestrogen for 6

> weeks post-surgery to encourage endometrium growith and fits an

> IUD/coil (he doesn't use a balloon) during the surgery in the hope

> of keeping uterine walls apart/minimise scarring/adhesions and

> removes this 6 weeks later.

My first dr used the 6 wks of post-op estrogen including the last 10

days also taking a progesterone. My 2nd dr didn't give me anything.

My own personal view was, I didn't think it could hurt to take them

even though I didn't feel that it was proven that they helped. I

tried to learn as much as possible and it just seems that the drs

that use hormones think that they help.

Hmmmm....now the IUD thing... I thought I remembered one person

mentioning this before but I can't for the life of me remember it. I

thought it was from someone outside of the US. I will do a search to

see if I can find it, ok. It's definately not common practice, but I

don't feel educated enough to comment on it. Sorry (

He sounds like a good dr since he is suggesting the IUD, but also

will follow your instructions if you are adamantly opposed to using

it. Sounds like he'd be a good listener. Has he discussed the

effects of the IUD after surgery? Will it slow down your chances for

conception? You have been through so much and waited so long, I

understand your need to get back to ttc right away.

>

> v) How long is it generally recommended to wait before ttc after

> resection surgery anyway - and how long did people feel was right

to

> wait, despite the official medical line?

My first dr said to wait 2 cycles. I never got to that point because

I found out at my 1 month post-op HSG that my septum was still

completely intact! It was about 1/3 the length of my uterus and very

wide at the top. So I went to 2 other REs for another opinion

because the first dr kept saying that it looked fine. I chose one of

them to do my 2nd surgery and he told me to wait one cycle. I waited

for one af to come and ttc the next cycle. I had a faint +hpt which

ended about a week later. We then gave into the REs recommendation

to start IF treatments and 6 cycles later got pg. A lot of drs will

recommend waiting 2 cycles for full growth of the endometrium over

the cut septum. From my own experience, 2 cycles is best, but

waiting one cycle should be fine (but I am not an MD ;-)

>

> vi) How long does it take to recover from lap/resection? I've been

> advised about 5 days before going back to work. What should I

> expect? How painful is it????

With the lap, I was in pain the day of surgery and the day after I

was not able to go to work. I went to work the 3rd day, but was so

exhausted and my belly was tender that I came back home at lunch

time. I'd recommend 3 days off from work. My second surgery was

with a hys only and I could have worked the very next day after

surgery.

I'm so sorry that you are dealing with all of this Alison. I hope

that this surgery brings you answers to why you lost your 4 babies

and that they are able to fix things so that you can bring the next

one home with you.

Sara

36, SU resected x2, dd 10/2/03

[Guest guest]

Alison, Welcome back!

I am so sorry to hear that you have had another loss. After all of

the testing you have been through to think that you may have an SU

after all. It's horrible that you have suffered this much without

any answers.

>

> My surgeon's technique is not to use any pre-operation hormones to

> thin the endometrium, but to perform the surgery as early as

> possible in the cycle after period finishes (day 6 or 7).

I needed 2 surgeries for my SU and neither surgeon used pre-op

hormones and both performed it before cd11. I think that this is

common practice. However, some docs don't mind doing the surgery

later in the cycle, but they are in the minority.

>>He will

> perform laparoscopy to see if there is a fundal dip, and in that

> instance will not operate unless the dip is only very small and

> there is enough uterine wall to cut.

Yay! Good plan.

>He uses electrocautery to cut

> and glycine to distend the uterus.

That's fine. I'm a supporter of letting each dr use the instrument

that he is most comfortable using. It seems like all methods work

well if done correctly.

>>He prescribes oestrogen for 6

> weeks post-surgery to encourage endometrium growith and fits an

> IUD/coil (he doesn't use a balloon) during the surgery in the hope

> of keeping uterine walls apart/minimise scarring/adhesions and

> removes this 6 weeks later.

My first dr used the 6 wks of post-op estrogen including the last 10

days also taking a progesterone. My 2nd dr didn't give me anything.

My own personal view was, I didn't think it could hurt to take them

even though I didn't feel that it was proven that they helped. I

tried to learn as much as possible and it just seems that the drs

that use hormones think that they help.

Hmmmm....now the IUD thing... I thought I remembered one person

mentioning this before but I can't for the life of me remember it. I

thought it was from someone outside of the US. I will do a search to

see if I can find it, ok. It's definately not common practice, but I

don't feel educated enough to comment on it. Sorry (

He sounds like a good dr since he is suggesting the IUD, but also

will follow your instructions if you are adamantly opposed to using

it. Sounds like he'd be a good listener. Has he discussed the

effects of the IUD after surgery? Will it slow down your chances for

conception? You have been through so much and waited so long, I

understand your need to get back to ttc right away.

>

> v) How long is it generally recommended to wait before ttc after

> resection surgery anyway - and how long did people feel was right

to

> wait, despite the official medical line?

My first dr said to wait 2 cycles. I never got to that point because

I found out at my 1 month post-op HSG that my septum was still

completely intact! It was about 1/3 the length of my uterus and very

wide at the top. So I went to 2 other REs for another opinion

because the first dr kept saying that it looked fine. I chose one of

them to do my 2nd surgery and he told me to wait one cycle. I waited

for one af to come and ttc the next cycle. I had a faint +hpt which

ended about a week later. We then gave into the REs recommendation

to start IF treatments and 6 cycles later got pg. A lot of drs will

recommend waiting 2 cycles for full growth of the endometrium over

the cut septum. From my own experience, 2 cycles is best, but

waiting one cycle should be fine (but I am not an MD ;-)

>

> vi) How long does it take to recover from lap/resection? I've been

> advised about 5 days before going back to work. What should I

> expect? How painful is it????

With the lap, I was in pain the day of surgery and the day after I

was not able to go to work. I went to work the 3rd day, but was so

exhausted and my belly was tender that I came back home at lunch

time. I'd recommend 3 days off from work. My second surgery was

with a hys only and I could have worked the very next day after

surgery.

I'm so sorry that you are dealing with all of this Alison. I hope

that this surgery brings you answers to why you lost your 4 babies

and that they are able to fix things so that you can bring the next

one home with you.

Sara

36, SU resected x2, dd 10/2/03

[Guest guest]

Alison, Welcome back!

I am so sorry to hear that you have had another loss. After all of

the testing you have been through to think that you may have an SU

after all. It's horrible that you have suffered this much without

any answers.

>

> My surgeon's technique is not to use any pre-operation hormones to

> thin the endometrium, but to perform the surgery as early as

> possible in the cycle after period finishes (day 6 or 7).

I needed 2 surgeries for my SU and neither surgeon used pre-op

hormones and both performed it before cd11. I think that this is

common practice. However, some docs don't mind doing the surgery

later in the cycle, but they are in the minority.

>>He will

> perform laparoscopy to see if there is a fundal dip, and in that

> instance will not operate unless the dip is only very small and

> there is enough uterine wall to cut.

Yay! Good plan.

>He uses electrocautery to cut

> and glycine to distend the uterus.

That's fine. I'm a supporter of letting each dr use the instrument

that he is most comfortable using. It seems like all methods work

well if done correctly.

>>He prescribes oestrogen for 6

> weeks post-surgery to encourage endometrium growith and fits an

> IUD/coil (he doesn't use a balloon) during the surgery in the hope

> of keeping uterine walls apart/minimise scarring/adhesions and

> removes this 6 weeks later.

My first dr used the 6 wks of post-op estrogen including the last 10

days also taking a progesterone. My 2nd dr didn't give me anything.

My own personal view was, I didn't think it could hurt to take them

even though I didn't feel that it was proven that they helped. I

tried to learn as much as possible and it just seems that the drs

that use hormones think that they help.

Hmmmm....now the IUD thing... I thought I remembered one person

mentioning this before but I can't for the life of me remember it. I

thought it was from someone outside of the US. I will do a search to

see if I can find it, ok. It's definately not common practice, but I

don't feel educated enough to comment on it. Sorry (

He sounds like a good dr since he is suggesting the IUD, but also

will follow your instructions if you are adamantly opposed to using

it. Sounds like he'd be a good listener. Has he discussed the

effects of the IUD after surgery? Will it slow down your chances for

conception? You have been through so much and waited so long, I

understand your need to get back to ttc right away.

>

> v) How long is it generally recommended to wait before ttc after

> resection surgery anyway - and how long did people feel was right

to

> wait, despite the official medical line?

My first dr said to wait 2 cycles. I never got to that point because

I found out at my 1 month post-op HSG that my septum was still

completely intact! It was about 1/3 the length of my uterus and very

wide at the top. So I went to 2 other REs for another opinion

because the first dr kept saying that it looked fine. I chose one of

them to do my 2nd surgery and he told me to wait one cycle. I waited

for one af to come and ttc the next cycle. I had a faint +hpt which

ended about a week later. We then gave into the REs recommendation

to start IF treatments and 6 cycles later got pg. A lot of drs will

recommend waiting 2 cycles for full growth of the endometrium over

the cut septum. From my own experience, 2 cycles is best, but

waiting one cycle should be fine (but I am not an MD ;-)

>

> vi) How long does it take to recover from lap/resection? I've been

> advised about 5 days before going back to work. What should I

> expect? How painful is it????

With the lap, I was in pain the day of surgery and the day after I

was not able to go to work. I went to work the 3rd day, but was so

exhausted and my belly was tender that I came back home at lunch

time. I'd recommend 3 days off from work. My second surgery was

with a hys only and I could have worked the very next day after

surgery.

I'm so sorry that you are dealing with all of this Alison. I hope

that this surgery brings you answers to why you lost your 4 babies

and that they are able to fix things so that you can bring the next

one home with you.

Sara

36, SU resected x2, dd 10/2/03