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  1. #21
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    So so so sorry for your loss!
    I had a miscarriage a few years ago at 8-9weeks and I went for a d&c through the public hospital - cost me nothing. It was not an amazing experience but I was very relieved and happy to have it done as I wanted to move on etc. Here was very little discomfort or pain before, during (I was asleep) and after and I'm very happy I had it done. I then went on to have a healthy baby not to long after.
    Ultimately it's your decision, but that's my experience
    Good luck, and again, so sorry for your loss xo

  2. #22
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    Hi thanks a lot for your reply. can I ask if they gave u any pills to take before the surgery? and how about the anti-biotics? I learnt sth. about the Asherman's syndrome this afternoon and I just became more scared about D&C

  3. #23
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    Lostinsydney, I'm so sorry for your loss

    Great that you have done your research and you haven't been pushed into having a D&C immediately as so many have. You are really fortunate to have access to medical management to manage your MC and being 8 weeks gestation you are an ideal candidate due to size of the sac etc. The most effective and common method is tablets taken orally and vaginally together (known as methotrexate and misoprostal). I have previously read this has around a 90% success rate combined. It is important to have follow up eg. Ultrasound to ensure there are no retained products.

    If you decide on the D&C the MOST important thing is that you have it done under ultrasound guidance or hysteroscopy. This is often the most difficult thing to arrange in public hospitals due to the general lack of awareness of medicos about the prevalence of Ashermans's when in fact unguided D&C's due to pregnancy related issues account for about 90% of AShermans's diagnoses. There is also usually no follow up in the public system after your D&C unless there is a problem.

    In Sydney there are private gynaecologists who are Ashermans's aware and will do a guided D&C to minimise the risks of scarring. Google 'Rob Buist Miscarriage Management' for a start and if he's unable to help ( as he is a busy obstetrician and he delivered my post Ashermans baby) his office will be able to refer you to someone else's.

    Good luck, I hope your situation is resolved quickly and safely soon xx
    Last edited by Starf1sh; 24-01-2015 at 11:24.

  4. #24
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    Quote Originally Posted by Starf1sh View Post
    Lostinsydney, I'm so sorry for your loss

    Great that you have done your research and you haven't been pushed into having a D&C immediately as so many have. You are really fortunate to have access to medical management to manage your MC and being 8 weeks gestation you are an ideal candidate due to size of the sac etc. The most effective and common method is tablets taken orally and vaginally together (known as methotrexate and misoprostal). I have previously read this has around a 90% success rate combined. It is important to have follow up eg. Ultrasound to ensure there are no retained products.

    If you decide on the D&C the MOST important thing is that you have it done under ultrasound guidance or hysteroscopy. This is often the most difficult thing to arrange in public hospitals due to the general lack of awareness of medicos about the prevalence of Ashermans's when in fact unguided D&C's due to pregnancy related issues account for about 90% of AShermans's diagnoses. There is also usually no follow up in the public system after your D&C unless there is a problem.

    In Sydney there are private gynaecologists who are Ashermans's aware and will do a guided D&C to minimise the risks of scarring. Google 'Rob Buist Miscarriage Management' for a start and if he's unable to help ( as he is a busy obstetrician and he delivered my post Ashermans baby) his office will be able to refer you to someone else's.

    Good luck, I hope your situation is resolved quickly and safely soon xx
    Dear Starf1sh, thank you so much for your precious information!!! I find it very useful!

    now just a curious question, if you were in my situation and if you have both the access to medication treatment and a guided D&C(with either u/s or hysteroscopy) for your missed miscarriage, which one will you choose? pls be aware you are not obliged to answer my question and if you do answer it you don't hold any responsibility for affecting my choice as at the end of the day, Im solely responsible for my decision

    thank you again and wish you a lovely long weekend!

  5. #25
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    I'm so sorry for your loss xx

  6. #26
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    It's a really hard one lostinsydney, however I'm very much in the 'prevention is better than cure camp' because I was one of the unlucky ones who acquired Ashermans syndrome.

    I guess what people don't realise is that the cost financially and emotionally of trying to have scarring fixed once you have it can be tremendous (Several surgeries with an Ashermans specialist, lots of time out from TTC and close to $10,000 for me before I was able to conceive my DD). Followed by a high risk pregnancy.

    Neither option is easy but stick to your guns about having the D&C guided if you decide to go this way xx

  7. The Following User Says Thank You to Starf1sh For This Useful Post:

    Reina83  (26-01-2015)

  8. #27
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    Quote Originally Posted by Starf1sh View Post
    It's a really hard one lostinsydney, however I'm very much in the 'prevention is better than cure camp' because I was one of the unlucky ones who acquired Ashermans syndrome.

    I guess what people don't realise is that the cost financially and emotionally of trying to have scarring fixed once you have it can be tremendous (Several surgeries with an Ashermans specialist, lots of time out from TTC and close to $10,000 for me before I was able to conceive my DD). Followed by a high risk pregnancy.

    Neither option is easy but stick to your guns about having the D&C guided if you decide to go this way xx
    Hi dear Starf1sh, thank you so so much for offering your opinion! I am a migrant alone here in sydney while my family are in China, so I have little family supports and your help means so much to me...

    I plan to go for the medical treatment first; if no luck, then I will have the D&C to have both the miscarriage thing and polyps removed, but it will have to be a guided one(no matter how much it will cost) My only worry now about the medical treatment is if anything emergency happens when I am doing it in the designated hospital and they drag me for a emergency D&C and I will have no choice even if it's a not guided one; well i guess then it's my fate; there's just no perfect plan for this shxx thing!

    anyway, i want to say i feel so sorry for what happened to you; that's all so horrible and life can just be so cruel; you must have suffered a lot and you must be a very strong woman!

    All the best luck with TTC#2 and I truely hope life treats you better in the future!

  9. The Following User Says Thank You to lostinsydney For This Useful Post:

    Reina83  (26-01-2015)

  10. #28
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    Good luck lostinsydney. Other only other suggestion I have is to contact Professor Vancaillie at the Women's Health and Research Institute Ph: 1300 722 206. He is my Asherman's Dr and the only surgeon I'd let near my uterus with a scalpel. He could do your D&C guided and remove the polyps at the same time.


    Either way let me know how things go (either here or send me a PM). Big hugs

  11. #29
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    Quote Originally Posted by Starf1sh View Post
    Good luck lostinsydney. Other only other suggestion I have is to contact Professor Vancaillie at the Women's Health and Research Institute Ph: 1300 722 206. He is my Asherman's Dr and the only surgeon I'd let near my uterus with a scalpel. He could do your D&C guided and remove the polyps at the same time.


    Either way let me know how things go (either here or send me a PM). Big hugs

    Hi Starf1sh,

    I made an appointment to see my FS tomorrow. I will advise him of my intention for trying the medical treatment; I will also ask more details about the D&C surgery they perform. I am actually thinking of changing of the doctor. I received a bill from the clinic this afternoon; I found out it's for my phone talk with my FS last week; I wanted to ask my FS some questions after I received copy letters he sent to my GP in regards to my ivf preganancy failure; the receptionist told me the FS would ring me that afternoon but didn't mention it will cost me. I talked to my FS later for less than 10 minutes and now I realized I need to pay $240 plus it's non-medicare refundable due to it's a phone-consultation! I am very upset. Im thinking of going to see a GP tomorrow morning to see if I can get a referral to see other specialist(maybe Professor Vancailli).

    I will keep you posted.

    Have a good night!

  12. #30
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    That's really poor form to be charged for a phone call, especially since you weren't advised there was a cost. In all my years of IVF I have never been charged for talking to my FS on the phone. In fact my current one called me regularly after bts and scans to discuss how my last cycle was going!

    I should have said Prof Vancaillie is a gynaecological surgeon not an FS, but is very experienced in preserving the uterine environment for future pregnancies. All the best with the medical treatment option. I hope things are sorted out quickly and safely for you and a baby follows soon after!


 

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