Long story short, had a really bad transfer due to cervix being closed up but my fs managed to get the embryo in and resulted in a bfp but pregnancy didn't progress as my levels didn't rise, so my fs wants to do a d&c before my next transfer with my last frostie.
Wondering if anyone had this or heard of it or has any advise really, should this make me more fertile or help with a pregnancy?? Any chat would help xx
and good luck with everyone
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28-04-2014 08:42 #1
Anyone had d&c before a transfer?
28-04-2014 08:49 #2Senior Member
- Join Date
- May 2012
Is the d&c being planned to remove the remains of your unsuccessful pregnancy? I would say that was quite normal practice. I've had 2 d&c's and I don't know if it improves your chances but it does give you a good 'clean out' which may not hurt as new lining will be all fresh. I've had much less clotty AF since d&c which I suspect is a good thing.
28-04-2014 08:55 #3
Be careful with D&C's if I knew now what could have happened due to getting a D&C I never would have had one. The outcome that I had that no dr ever told me was that I developed Ashermans Syndrome and quite a few other ladies on her have as well there is a few threads on here about Ashermans. I have recovered thankfully after trying to conceive for 3 years due to the Ashermans but it has permanently damaged my cervix resulting in my last bub born at 31+1 needing a cervical stitch to keep the cervix closed and again this pregnancy with a stitch and high risk. If you decide to go ahead with the D&C research and think hard about the risks first. I wish someone had of told me about it, I never would have had a D&C. My new FS who is also my OB is highly against D&C's.
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28-04-2014 08:59 #4
Question no. 1 Why was your cervix closed???
This happened to me after I had severe adhesions FOLLOWING a D&C (closing my cervix and adhering the walls of the uterus together). Any scarring in the uterus can also cause a miscarriage. If you decide to go ahead please make sure it is done under ultrasound guidance or with a hysteroscope.
More info here if you are interested to research more about the risks of an unguided D&C.
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28-04-2014 17:34 #5
Thanks for the reply ladies, was a big help.
To answer some of the questions no I'm not needing it for this unsuccessful pregnancy I was told this after she put the embryo in because she had so much trouble putting the embryo in because for some reason it's closed tight, after half hour she was just able to put the catheter in but said she wants me to have the d&c because it will help with the transfer of next embryo.
On the phone today the nurses said the aim is more for dilation but if I need the curettage then they will do that, the nurse said on the phone it's very easy and simple and I've nothing to worry about.
So what do I say to that?
28-04-2014 17:53 #6
Sounds like a good idea to meet with your FS and get a full understanding of why they need you to dilate further and more importantly why was your cervix 'closed' to begin with?
It may not be the case for you but this can be caused by scar tissue forming over it (considered stage 1 Asherman's syndrome and easily treated).This is more likely if you've ever had any uterine surgery e.g. fibroids removed, previous D&C. It could also be anatomical and they mean 'closed' as in hard to access. In which case a D&C makes no sense.
A good idea not to go forward with any procedure without fully understanding what is hoped to be achieved and what the risks are etc. Like Petrult I also suffered long term consequences as a result of having a D&C. It won't happen to everyone but there is a risk of scarring occurring (particularly with a blind D&C) and this risk increases with the number you have. I only ever had 2 but ended up with Stage 4 (severe Asherman's).
Good luck OP
30-04-2014 09:33 #7
Yea I don't really have any idea why my cervix is closed up, I will be meeting with her Monday so I will wright down a load of questions as always seems when u r in there office the questions go out the window.
Iv decided not to have my last frostie put in as she wanted to d&c this month then transfer egg next but I feel like crap, iv put on an extra 7kg over the year of cycling and emotionally I'm broken, so back to gym for 6 months then will look at it being put in, I was thinking if I did have the d&c or even just dilated then try naturally for the 6 months and I'm thinking wouldn't that help?? I was thinking if it's closed then is that why I'm not conceiving lol I was never checked for anything before starting icsi although my husband has a balanced translocation and when we have done pgd testing 80% of our embryos are abnormal. I have never had anything go right from the day I started with this clinic of fs so I think I will get second opinion about d&c if I don't feel confident in what she wants to do. X
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30-04-2014 09:49 #8
I had a d&c before this last embryo of mine was put back. It was the 10th embryo and my very first bfp. I am now 26w pregnant. I had a d&c and they did a biopsy of my lining at the same time to check for elevated nk cells. It was all under general anaestesia. My fs told me that in order to increase the chances of implantation, we had to transfer the frozen embryo on the very next cycle. As it took weeks to get the results of the biopsy, I was treated as if I had elevated nk cells, which means I was on steroids for the whole first trimester (pretty low dose though). I did not end up having elevated nk cells.
Oh and I that embryo was the fourth transfer of a chromosomically normal embryo. Good luck. I hope your journey does not last much longer and you get fantastic news next transfer.
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30-04-2014 10:04 #9
Rtropps, this can be such a tough journey particularly when things don't go 'to plan'. I think you are wise to take some time and get a full understanding of your situation before making any decisions and if you don't feel confident at the end of meeting with your FS a 2nd opinion could be warranted.
I also think it's important to be well prepared for any meeting with your FS or other specialists. Write down all the questions you can think of and ask them (no matter how silly they might seem). My DH and I used to do this the night before we met with our Dr's. It's your body and your future baby you're hoping to bake there but it's also their job to make sure you understand your fertility situation and your choices. And sometimes unless you ask the question, you don't get the answer.
30-04-2014 10:23 #10
Instead of a D&C which they go in blind why not have a hysteroscopy and laporoscopy where it is done with a camera into your uterus and tubes to see exactly what the problem is? I had these done and he found my ashermans which he suspected anyway, he was then able to cut away at it and see what he was doing. Just a thought.
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