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  1. #31
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    Thanks Helen

    Prof Vancaillie uses Spraygel as an adhesion barrier rather than a stent or balloon which seems common in the US. No risk of infection and no discomfort associated with having a foreign body in there.

  2. #32
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    Hi lovely ladies.

    I just wanted to come in and give you an update since i was last in here. It's a bit of a story so i apologise for the War & Peace post.

    As you may have read back in September, through a routine hysteroscopy to perform a lipoidal flush & endo biopsy, i was diagnosed with moderate Asherman's on the left side of my uterus (the right side was clear). My specialist, Warren DeAmbrosis, cut out the adhesions and advised that 80% of my uterus was clear, and that i had a decent chance of falling pregnant.

    I went straight into another cycle and fell pregnant in my next cycle (October). Everything was going wonderfully until 5 weeks, when i had my first bleed. I was diagnosed with a subchorionic haematoma. These are actually quite common, and a majority either slowly bleed out or reabsorb. Over the course of the last 10 days, i've had 3 major bleeds - culminating in the last 2 days of bright red blood - with me going to the ER late last night. I have obviously been in contact with Warren over this time, almost daily and at all times of the day and night - i've been on complete bed rest and have upped my estrogen to 10 progynova per day, 10 provera per day, 4 x 400mg progesterone pessaries, 1/2 valium 4 times daily and cyklokopran to help stem the blood. Well, the result from my visit to the ER was that my foetal hearbeat had dropped in 2 days from 110bpm to 74bpm and my hcg 6 days ago was 19784, and last night had only risen to 30000 A doubling time of 239 hours... So the official diagnosis is inevitable miscarriage.

    I'm seeing Warren again today, as he wants to obviously check me out himself and scan, but i have a list of questions for him, regarding this. He's been adamant from the beginning of this bleed that i'm a a threatened miscarriage and that if i did, he won't perform a D&C due to my Asherman's. We'll discuss options then, including misoprostol.

    The thing that kills me right now is that the baby's heart is still beating - i had fantastic initial HCG betas - 665 at 16dpo, 2925 at 20dpo... but i think it just got too hard for the little tyke at the end. *sigh*

    The thing that gives me hope, however, is that i CAN get pregnant. This is my first BFP, so it's something for my DH & I to hold on to.

    If you got this far, thanks for reading

  3. #33
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    Hi KandP,
    Firstly I'm so sorry that you find yourself in this really awful situation

    It is great that your FS is switched on enough to know that a blind D&C is definitely not the way to go for someone with an AS diagnosis.

    Misoprostol is worth considering and seems to be used quite commonly in the U.S for women with Asherman's. I don't think there are any easy choices in this situation but trying this option will not cause you further damage and I believe your risk of having retained products after a medical intervention (misoprostal) is about 10%.

    I also asked Prof Vancaillie the A list Asherman's Dr in Australia what my options were in the event I miscarried again and he agreed misoprostol was definitely one option, or that he could perform a hysteroscopy and do a guided D&C if required. In my case he would be the only surgeon I would allow to do this as he is so conscious of preserving the uterine environment and skilled at restoring the uterus to the best possible condition.

    Hopefully by now you have met with your FS and have a better idea of things. Whatever happens I wish you a speedy and safe resolution. Take care and let us know how things go xx
    Last edited by Starf1sh; 01-11-2012 at 19:34. Reason: add info

  4. #34
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    Default Re: Know the risks of D&C's - Asherman's Syndrome

    Hi lovey, thanks for the reply.... Here is the update I posted in the Brisbane thread:

    Well, the heartbeat has gone back up to 110. Warren is still not comfortable with the pregnancy and gave it a 30% chance. He's taken me off cyklokapron and clexane to try to stem the bleed (the cyklokopran hasn't done much and I'm on the clexane to stop potential clotting from it but its potentially contributing to the bleed) but has kept me on cardiprin to help with clotting issues associated with estrogen therapy. I'm also now wearing pressure stockings. Back to bed for me... It's all touch and go, really, but the heartbeat is there so that is something. We just need the bleed to stop.

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    Default Know the risks of D&C's - Asherman's Syndrome

    Oh KandP what a rollercoaster! Obviously a fighter and if there is a way for your little bean to stay with you I wish it for you xx

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    I know, it's been crazy.

    Today i've been ok - i've had some cramping, but i've had cramps since EPU on the 28th September. They certainly haven't been bad today though, a couple of oohs and aahs, but i'd say mildish. I've had a small amount of red blood, but nothing that is worrying to me, and nothing like yesterday. It's too early to tell if its' just a good day, or if it will start again tonight, or if it's the fact that i've now stopped clexane? Who knows, i'm just taking a day at a time, and i'll be back at Warren's office next Thursday for my next scan. I just pray that a)we see a heartbeat again and b) it's nice and strong and c) the SCH has gotten smaller or even better disappeared.

    PS: starfish i only just realised that you had a BFP??? <3

  7. #37
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    Still holding out hope your bean will go the distance and that the SCH will disappear very soon

    I am 5 weeks today and this is my first pregnancy since my AS was treated so I am very anxious, but also very grateful I have been able to conceive again at all. This bubba also implanted on a 5.5-6mm lining so it is definitely possible! I have already had some spotting this pregnancy also and I know from the other women who have had successful post AS pregnancies that spotting (and even bleeding) is really common, but it is still upsetting to see.

    Will be thinking of you KandP

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    felicita  (04-11-2012),KandP  (03-11-2012)

  9. #38
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    Quote Originally Posted by Starf1sh View Post
    Still holding out hope your bean will go the distance and that the SCH will disappear very soon

    I am 5 weeks today and this is my first pregnancy since my AS was treated so I am very anxious, but also very grateful I have been able to conceive again at all. This bubba also implanted on a 5.5-6mm lining so it is definitely possible! I have already had some spotting this pregnancy also and I know from the other women who have had successful post AS pregnancies that spotting (and even bleeding) is really common, but it is still upsetting to see.

    Will be thinking of you KandP
    Oh that is just wonderful, starf1sh! I know exactly how you feel regarding the spotting/bleeding (mine also started at 5 weeks), and I will send all the good vibes I can (saving some for myself, of course hehe) that spotting is all you get.

    I've been given a 30% chance of a full-term pregnancy, but i'll take that 30% and hold on to it for dear life. The biggest thing for me is that i fell pregnant, and falling pregnant is also very good for Asherman's. I'm 7 weeks 1 day today, going by my LMP, but i think i'm a little less. I will have my next scan on Thursday (what feels like Thursday, 2014 ha), and will get a more accurate read on how bub is going (and if bub is still there).

    On a positive note, since stopping the clexane, my bleeding has slowed a lot, and is much darker than before (indicating older blood). My cramps have all but subsided. Warren also said at the last scan that it looks like the placenta is starting to develop on the top of my uterus, away from the SCH, which is good, as it means that there won't be a danger of an placental abruption. *sigh*

    I am just so happy for you, I really am

  10. #39
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    helenmac is offline After 3 yrs of tcc I've got a BFP!
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    KandP - Wishing you all the best for your scan next Thursday. Hold on tight little trooper

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  12. #40
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    helenmac is offline After 3 yrs of tcc I've got a BFP!
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    Hi Ladies,

    Over the weekend I had what would appear to be AF type symptoms with no withdrawal bleed this is consistant to 14 days after my ovulation pain so I'm convinced my uterus is closed.

    I have a ultrasound booked in for this afternoon so I'm hoping they'll be able to see something that is preventing me from getting my AF. I'm aware hysteroscopy is the best diagnosis for Ashermans Syndrome so I've booked in to see Dr. V on the 20th November. I just need my GP to fill out the referral first but I can't get in to see her for another week for results of today's scan and the referral.

    SO it's another 2 weeks to wait to see what is happening to my body.


 

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