Fertility NZ :: Ashermans Syndrome

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Kat Total Posts: 1 Joined: March 6, 2015	Hi there, my husband and I are TTC. After 2 missed miscarriages and consequently 2 D&C's we were unable to conceive. Along with that my entire monthly cycle changed for the worse. Unfortunately all the tests that were carried out did not pick up any reason for the infertility. I went on to have 3 courses of Clomephine, all of which I had great results however still no pregnancy. In one last ditch effort I had a HSG however as nothing had been picked up in the previous hysteroscopy they were not holding out hope. However it was spotted immediately that I have sever scaring in the Uterus, meaning the back and front walls of my uterus have fused together. There is a lot more to this story as to how this all happened and why it was not picked up sooner however I am taking that up with Middlemore. My main concern is getting a resolve. I have meet with the surgeon and he did not fill me with a lot of hope for a favorable outcome. It really is a 'trial and error' situation. I would be grateful if anyone has been in my position and could share their experience with me or offer me any advise at all. Thank you Anxious Kat Tags: Posted on March 6, 2015 at 12:14 PM
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Cristina Total Posts: 21 Joined: September 10, 2015	Re: Ashermans Syndrome Hi, Honestly I don’t know much about your syndrome, but yes I can understand it is definitely not something nice if you wish to start family. However, I read most of the times online; it’s a doctor made and permanent. The risk of developing AS from a D&C (dilatation and curettage) performed 2-4 weeks after delivery is 25%. D&Cs also lead to AS in 30.9% of procedures for missed miscarriages and 6.4% of procedures for incomplete miscarriages. So, the risk of developing AS increases the more D&Cs you have. Though not sure, but I hope there is treatment available to this. I read Hysteroscopic adhesiolysis, is treatment of choice for the management of intrauterine adhesions. When the adhesions are thin and filmy in nature, blunt dissection with the leading edge of the hysteroscope often is sufficient to achieve their lysis. I wish you get the best of medical treatment very soon. Posted on September 15, 2015 at 6:24 AM

Viewing 1 to 2 (2 Total)

Ashermans Syndrome

Kat

Total Posts: 1

Joined: March 6, 2015

Hi there, my husband and I are TTC. After 2 missed miscarriages and consequently 2 D&C's we were unable to conceive. Along with that my entire monthly cycle changed for the worse. Unfortunately all the tests that were carried out did not pick up any reason for the infertility. I went on to have 3 courses of Clomephine, all of which I had great results however still no pregnancy. In one last ditch effort I had a HSG however as nothing had been picked up in the previous hysteroscopy they were not holding out hope. However it was spotted immediately that I have sever scaring in the Uterus, meaning the back and front walls of my uterus have fused together. There is a lot more to this story as to how this all happened and why it was not picked up sooner however I am taking that up with Middlemore. My main concern is getting a resolve. I have meet with the surgeon and he did not fill me with a lot of hope for a favorable outcome. It really is a 'trial and error' situation. I would be grateful if anyone has been in my position and could share their experience with me or offer me any advise at all.
Thank you
Anxious Kat

Tags:

Posted on March 6, 2015 at 12:14 PM

1 Reply

Cristina

Total Posts: 21

Joined: September 10, 2015

Re: Ashermans Syndrome

Hi, Honestly I don’t know much about your syndrome, but yes I can understand it is definitely not something nice if you wish to start family. However, I read most of the times online; it’s a doctor made and permanent. The risk of developing AS from a D&C (dilatation and curettage) performed 2-4 weeks after delivery is 25%. D&Cs also lead to AS in 30.9% of procedures for missed miscarriages and 6.4% of procedures for incomplete miscarriages. So, the risk of developing AS increases the more D&Cs you have.
Though not sure, but I hope there is treatment available to this. I read Hysteroscopic adhesiolysis, is treatment of choice for the management of intrauterine adhesions. When the adhesions are thin and filmy in nature, blunt dissection with the leading edge of the hysteroscope often is sufficient to achieve their lysis. I wish you get the best of medical treatment very soon.

Posted on September 15, 2015 at 6:24 AM