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  1. #151
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    Had first scan this morning. Saw our little one measuring at 7wks 6 days so perfectly on track. And heard the heartbeat. Soooo nice. And there is just one! I'm proof that high hcg doesn't necessarily mean multiples. My hcg at 15days post transfer were 4610 and was over 9000 two days later. So off the scales but just the one little one inside.

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    lilbabysteps  (12-09-2012),wunsi  (10-09-2012),Zakmick  (10-09-2012)

  3. #152
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    Default Kween K'iesha's Chatroom #2

    Ohhhhhh that's fantastic lackers!! So happy for you!

  4. #153
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    Default Kween K'iesha's Chatroom #2

    Who hoo lackers!!!!

  5. #154
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    KandP – have youalways been on that higher dose of FSH. My FS says 300 is max. Now wonderingwhy he says that? You are the same kind of age as me yeah (Im still 34, just!!)
    My first round was 400 and then 450, then Warren upped it to 600 the last time, which gave me some OHSS, next time round we're dropping it to 525.

    AFM: I've just had a hysteroscopy today along with a lipoidol flush, my specialist (Dr Warren DeAmbrosis) diagnosed Asherman's Syndrome.

    What is Asherman's Syndrome?

    Asherman's Syndrome, or intrauterine adhesions/scarring or synechiae, is an acquired uterine condition, characterized by the formation of adhesions (scar tissue) inside the uterus. In many cases the front and back walls of the uterus stick to one another. In other cases, adhesions only occur in a small portion of the uterus. The extent of the adhesions defines whether the case is mild, moderate, or severe. The adhesions can be thin or thick, spotty in location, or confluent. They are usually not vascular, which is an important attribute that helps in treatment. Click here for more on Asherman's Syndrome grades.

    Symptoms

    Most patients with Asherman's Syndrome have scanty or absent periods (amenorrhea) but some have normal periods. Some patients have no periods but feel pain at the time that their period would normally arrive each month. This pain may indicate that menstruation is occurring but the blood cannot exit the uterus because the cervix is blocked by adhesions. Recurrent miscarriage and infertility could also be symptoms (1).

    Causes

    Asherman's syndrome occurs when trauma to the endometrial lining triggers the normal wound-healing process, which causes the damaged areas to fuse together. Most commonly, intrauterine adhesions occur after a dilation and curettage (D&C) that was performed because of a missed or incomplete miscarriage, retained placenta with or without hemorrhage after a delivery, or elective abortion. Pregnancy-related D&Cs have been shown to account for 90% of Asherman's Syndrome cases(2). Sometimes adhesions also occur following other pelvic surgeries such as Cesarean section, surgery to remove fibroids or polyps, or in the developing world, as a result of infections such as genital tuberculosis(3) and schistosomiasis(4).

    There is a 25% risk of developing Asherman's Syndrome from a D&C that is performed 2 to 4 weeks after delivery(5-8). Dilation and Curettages may also lead to Asherman's Syndrome in 30.9% of procedures for missed miscarriages(17) and 6.4% of procedures for incomplete miscarriages(2). The risk of Asherman's Syndrome increases with the number of D&Cs performed; after a single termination the risk is 16%, however, after 3 or more D&Cs, the risk increases to 32%(9). Each case of Asherman's Syndrome is different, and the cause must be determined on a case-by-case basis. In some cases, Asherman's Syndrome may have been caused by an "overly aggressive" D&C. However, this is not often considered to be the case. The placenta may have attached very deeply in the endometrium or fibrotic activity of retained products of conception could have occurred, both of which make it difficult to remove retained tissue. For the most comprehensive information about D&Cs and Asherman's Syndrome, please click here to visit DandCnow.info.

    There is a variant of Asherman's Syndrome called "Unstuck Asherman's or endometrial sclerosis that is more difficult to treat. In this condition, which may coexist with the presence of adhesions, the uterine walls are not stuck together. Instead, the endometrium has been denuded. Although curettage can cause this condition, it is more likely after uterine surgery, such as myomectomy. In these cases the endometrium, or at least its basal layer, has been removed or destroyed.


    It's seems to be on the right side of my uterus as the left was completely clear. He removed all the adhesions, and that there is only a small amount of residual scar tissue with no blood supply. The before and after photos from the scope are very different. We are going straight into my next antagonist cycle, but he's also said that he'd happy to refer me to a specialist in Sydney who specialises specifically in Asherman's Syndrome. I asked if he felt that we should do that now before trying again, but he said that 75-80% of my uterus was clear and that i have a decent chance of falling pregnant. I trust Warren implicitly and know that if he felt that we had little chance of it working, he'd not go through with a cycle and that if treatment with the doctor in Sydney was the only way to go, i'd be referred immediately. He'll take a look at my lining during the cycle and i'm guessing that if it's not good, we'll look at other options.

    I had a D&C when i was 21 and have had laparoscopies since then, but no hysteroscopy - i'm guessing that this was the cause of this condition (D&Cs are the general cause of Asherman's). I know that Asherman's is not a great diagnosis, but i am so relieved that i finally have a definitive reason for not being able to conceive a)naturally, and b) 2 BFN IVF cycles. Our embryos aren't the best quality, but up until today they had little to no chance of implantation. I'm really hoping that by removing the adhesions this will give me a better chance at having a baby.

    For those interested to read about Asherman's, there is a great sticky thread here on the IVF forum:

    http://www.bubhub.com.au/community/f...05#post6812105
    Last edited by KandP; 10-09-2012 at 17:34.

  6. #155
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    Default Re: Kween K'iesha's Chatroom #2

    Hooray lackers!

  7. #156
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    Congrats lackers - so exciting for you and must be reassuring to see the little bub :-)

  8. #157
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    K&P,

    Sounds like you are in the right hands - it definitely sounds like you will have a much better chance of now falling pregnant. Hope you are feeling ok about it all.

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    KandP  (10-09-2012)

  10. #158
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    Rutabaga is offline Getting it together, one day at a time.
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    Hi ladies! I'm getting back onto the crazy train after several months off, so thought I'd join in

    Big congrats to everyone who's gotten their BFP, so happy for you! Fngers crossed for all of the PUPO ladies, hope the tww isn't too hard on you and good luck for your tests.

    As for the rest of... Well, thank goodness for the support and understanding here.

    AFM - I had a bunch of antibiotics last month, and have been on them again since day2 (3/9). Also taking baby aspirin and prednisolone, and high dose folate. First bt is tomorrow, hopefully I'll o on the 16th and FET will be around the 20th.. Feels so good to be back on the baby train again, already sick of the waiting though!

    G'night

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  12. #159
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    Lackers - great news!

    K&P - Glad you now know what is going on, although I'm sorry you had to go through that. I'm surprised by the stats for Asherman's. My OB told me that the risks were very low, so I'm not sure if it differs depending on circumstance, or why that would be...?

    KatherineLouise - Welcome! Although not the place to which you probably want to be welcomed, if you know what I mean! Fingers crossed for your FET. The waiting sucks!

    AFM - Now 3dp5dt and already insane. This is going to be the longest 2 weeks ever. I just can't stop crying. I feel like I'm going crazy! I'm so scared of miscarrying again, or just not getting pregnant at all. And I'm feeling awful too - think it's the increased progesterone. Just dead tired all the time, like I could lie on the floor and sleep! Really hope time speeds up between now and next Friday... And I'm going to try not to test too early either! Maybe a little early... but only a day...

  13. #160
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    Default Kween K'iesha's Chatroom #2

    Feel for you girlX. I was a crazed lunatic at 6/7&8 days post transfer and caved and tested on 9dp5dt. I reckon if you can hold out til then you'll do well, especially since you've hit the crazed bit already, I have no tips, I'm sorry, it's torturous.

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