Damn Dr. Google....
since I had the hysteroscopy and the chat afterwards with the doctor about the fact that he found what looked like scar tissue (no adhesions though, like filamentous scarring) I've of course done what everyone else would have done and started searching the net for how I could have had such a thing.
It turns out the condition has a scary name...Asherman's syndrome. This is normally connected to previous uterine surgery such as D&C after a miscarriage, polyps removal etc. In December 2007, before becoming officially an IF patient at my clinic, I had contacted a gyn here to see if he could check my tubes for patency. He said he could and that he would have performed an exploratory laparoscopy and a D&C which, he said, helped at times to "refresh" the lining and promote implantation. This sounded more than excessive to my Italian gyn (could he not simply do a HSG?) but sure I was living in Ireland, I had to go with the flow. After surgery, he told me I had mild endo and suggested medical menopause to which I said no and then contacted the clinic.
I never thought anymore about it, it had been a waste of time in my opinion but nothing more. Now I'm afraid it left me with this Asherman's gift.
I got so worried about this over yesterday and today that I will call Dr. B on monday and see if he can reassure me a bit...Nearly every Asherman's website states that the use of a laser to remove the scars is actually NOT recommended as the heat generated may worsen the situation. Of course he used laser because it's the safest option to minimise bleeding and uterine perforation, but in my case...Damn Dr. Google again.
Of course every website warns you to be weary of non-Asherman specialists to perform the surgery as they often lack the skills for a successful recovery....oh God....I have to ask him if at least he knows what it is!
Dr. B said to expect bleeding/spotting for a couple of weeks and the two weeks are up next tuesday. I had my period a week ago (I'm amazed that I could tell the difference) and I'm still spotting. I have also started the pill so that I could plan the FET and I'm now worried that in fact I should have been on oestrogen only following surgery to make sure the lining was thickening in a healthy manner. My pill is a monophasic one with oestrogen and progesterone, I hope it's ok.
Monday can't come fast enough, I have to know much more about my surgery, how extensive the scarring was (I have pics where I can see healthy tissue also and no bands, but it can be a close up) and were it was. If he thinks it's ok that I'm on the pill and the scheduled FET for May. I'll be seeing him on the 26th but I'm not clear what he will do (another hysteroscopy to check if everything healed properly? A chat and a good-luck?).
Girls, if any of you out there knows more, can you please email me or drop a message? I can't believe what I thought it was good news (yehay, I found the cause for failed uterine implantation) may turn into an even worse nightmare...
