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  1. #1
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    Default Difficulty conceiving after d & c

    Hello. I'm new to Bubhub, but I'm really hoping I can get some advice here.

    In the past 12 months I have experienced 3 miscarriages. First at 6 weeks, second at 4 weeks (chemical I guess), and third a missed miscarriage which I ended up having a d&c at 10 weeks as I wasn't miscarrying naturally. We fell pregnant very easily every time. All "first trys". So I assumed I was super fertile with something going on causing miscarriage.

    For the last miscarriage I saw a fertility specialist and she recommended a d&c. I was not told of ANY risks by her, and was led to believe it is a very common procedure and safe. So I went ahead with it.

    3 months later, I still hadn't got AF. And I had been returning positive pregnancy tests during that 3 month period. So I went back to the specialist - she ordered blood tests - and turns out there was still "product" (as they call it) left behind. My HCG levels were stuck around 40.

    I had to have a second d&c to remove the remaining "product". Again - no risks of scarring (or anything) disclosed to me. That second d&c was performed in November 2013.

    Now I can't fall pregnant. I know it's only been 5 cycles since the last d&c, but we fell pregnant so easily last year that now I am very concerned I have suffered scarring from the multiple d&cs. I'm freaking myself out reading research about Asherman's syndrome (scarring after a d&c).

    I guess I am posting here as I'd really like to know if anyone has been what I have been through but ended up falling pregnant. Or if anyone has suffered scarring from multiple d&cs (Asherman's syndrom) and how did you find out?

    The information out there is so contradictory. One site says it's "very rare" to get scarring, yet I just read a medical study saying 40% of patients undergoing multiple d&cs have scarring.

    I'm going to make an appointment with my FS today. It's going to be difficult not to get angry with her that she didn't talk to me about the risks of complications. And I feel like she is going to brush off my concerns saying I've only tried for 5 months post d&c. I'm 37 so I'm starting to panic that it's never going to happen and that now I am infertile.

    Thank you for reading my very long post. Any help/advice/experiences would be helpful.

  2. #2
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    I just wanted to share my friend's story as it's very similar to yours -- fell pregnant with her 1st, but at a 9 week scan found there was no HB. She had a D&C but her doctor didn't do the scrape correctly & it resulted in scarring. This led to her having 2 years of fertility treatment to try & fall pregnant. Not once throughout those 2 years was she given another scan to check. She changed doctors who immediately did an internal investigation, "cleared" everything out & she was pregnant 6 weeks later. I do know she has other issues though. But I do think you should get another opinion just to be safe. Goodluck!

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    Danygirl  (23-04-2014)

  4. #3
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    Hi Danygirl,
    Saw your post on the Asherman's thread also. I am one of the unlucky women to acquire Asherman's after a D&C. While this won't happen to everyone who has a blind D&C, it is unfortunately much more common than people think due to the nature by which most practitioners perform D&C's (blindly scraping into the lining of the uterus without any ultrasound guidance or with a hysteroscope).

    It's the greatest shame 1. that woman are not informed of the potential risks 2. aren't offered non surgical options such as misoprostal and 3. practitioners don't routinely do them guided to minimise the risk of harm.

    While there can be other indicators of Asherman's such as an inability to fall pregnant, one of the keys indicators is often a change in your period i.e getting lighter or stopping altogether. You could ask your FS to order a HyCoSy which is probably the least invasive option and is a good 1st step to check for any scarring/ blockages in the uterus.

    If the are unwilling to do any investigations or fob you off because AS is 'rare' MOVE ON to someone else who will take your concerns seriously. I wasted more than 12 months with an FS who repeatedly dismissed my concerns and then when I eventually saw an AS specialist it turned out I had severe scarring in my uterus.

    I sincerely hope this isn't the case for you. Good luck and pop over to the AS thread if you have any further questions

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    Danygirl  (23-04-2014)

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    Belter - thanks so much for sharing your friend's experience. Yes, I certainly don't want to keep trying for years, then to realise I have scarring. That's why, although I feel a bit "ott" freaking out after 5 months of not being able to conceive when it was so easy the first 3 times, I think at my age and history of d&cs it's warranted.

    Starf1sh - thanks so much for popping over to read my post. I will definitely take your advice on "moving on" if my FS fobs me off, which unfortunately I think is going to happen. Pre-empting this, I have already booked in to see my GP next week to get another referral for a different FS. I don't want to waste any time. Do you (or anyone else) think it's worth going straight to an AS specialist incase that's what it is? Or should I just see a different FS, raise my concerns and take it from there?

    Can anyone recommend a good FS in Melbourne? Preferably city, or inner north.

    Thanks again to you both for your replies.

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    Hi Danygirl, I also found your post in the Ashermans thread as I am also a post ashermans patient. My story is in that thread also. There is hope I have a 19 month old son, very high risk pregnancy though didn't think we would make it he was IVF and premmie at 31+1 and now pregnant again 33 weeks naturally after falling first month of trying FS says the pregnancy would have cleaned my uterus out which it did. I believe the ashermans has damaged my cervix my 19 month old threatened to come at 12,17,23 weeks with the cervix opening and getting it stitched closed at 23 weeks. This pregnancy again high risk and bed rest again with stitch at 23 weeks. I had two term babies before the D&Cs with one needing to be induced. Also I have one tube fully closed with ashermans that can't be fixed. Find yourself a good FS that knows ashermans and go from there. I was not told the risks either and all up I've had 5 D&Cs with various drs, none of them told me about ashermans. Well good luck and don't give up there is hope.

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    Danygirl  (23-04-2014)

  9. #6
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    Sorry to hear you are having so much trouble. I had 3 pregnancies which I fell first go the 4th I had a missed miscarriage at 12 weeks and had a d and c. It took me 10 months after that to fall pregnant my periods were all over the place usually 28 days . It was so frustrating. Hopefully you have some luck soon.

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    Hi Petrult. Thanks for sharing your experience. I'm glad to hear there is hope if AS happens to be what I have. I wish you all the very best for your current pregnancy! You give me hope! I will try to find a FS with Asherman's knowledge. Although I'm not sure how!

    Ever - thanks for your response. It is very frustrating when it seems so easy the first few gos and then you get nothing. My periods have always been bang on 28 days. I could even narrow it down to the hour sometimes. Since the d&c(s) my cycles have become shorter and shorter. 21 days being the shortest. This is also alarming me. . Ever - did you investigate whether you may have had scarring from your d&c? Or did you just wait it out until you eventually fell pregnant?

    Thanks guys. You've made me feel better knowing there is hope/others going through the same thing. I've managed to get an appointment with my current FS tomorrow morning. So I will have to be assertive and insist on further investigations. If not... I'm out-a-there.
    Last edited by Danygirl; 23-04-2014 at 11:54.

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    Hi Danygirl,

    Starf1sh has great advice based on hard-won experience.

    I'd recommend Dr Lynn Burmeister from Monash Melbourne. Her 'bedside' manner is a little cool but she is a top doctor and is extremely thorough (which is what you really need). She will be very proactive with any testing, and will take the time to thoroughly investigate your situation.

    Good luck!

  12. The Following 2 Users Say Thank You to milliegirl For This Useful Post:

    Danygirl  (23-04-2014),Starf1sh  (23-04-2014)

  13. #9
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    Thanks so much Milliegirl. She sounds great. I will ask my GP for a referral to see her. Cross fingers tomorrow will go ok, but it's great to know who to go to if I need. (to be honest, I'll probably try to get into see her anyway. I'm starting to read some less than positive things about my current FS ).


 

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