Uterine adhesions

[Bubblegum89]

I had a d&c 3 years ago. Before that, getting pregnant was no issue. After it, I developed an infection which was treated with antibiotics straight away. My periods are no longer much to shout about. Lasts a day, maybe two if I’m lucky and are mostly brown. I had an unrelated US December 2016 and a doctor said she thought she could see adhesions in my uterus so I put two and two together and came across Asherman’s Syndrome.

I have had a few US since then and nothing has been seen but I know from researching that it can’t be seen properly or diagnosed either way on a standard US. After ttc for over a year, I started tests at the fertility clinic. All hormone and SA came back normal. Had a 3D US of my ovaries to check follicles. Sonographer said everything looked good. Went back to have a SIS/HyCoSy, again with mostly 3D internal US and sonographer said all looked great and totally normal. I know, again from researching and ladies who have had AS, that a hysteroscopy is the best diagnostic tool for adhesions.

I mentioned it at my fertility appointment today and the consultant said he doesn’t think it’s necessary. He showed me the 3D images of my uterine cavity both normal and inflated during the SIS and said that the dye filled the cavity completely and everything looked totally fine. The 3D images are obviously much better quality than a standard 2D image and to me, it looked like a normal uterus or what you imagine it to look like lol.

I just have this nagging doubt in the back of my mind. A lot of women with AS that I’ve spoken to have had a Hycosy/hsg and they’ve been told everything is normal only to find out via hysteroscopy that they have scarring. Has anyone had this happen to them? Or has anyone suspected AS and ended up not having it? I’ve been told so many times that my uterus looks fine but that one time back in December 2016 is the only thing that sticks in my mind. We’ve been ttc for 18 months now so not too long but feels like it. We can pay privately for a hysteroscopy but the consultant seemed to think it would be a waste of money. Obviously he’s the expert but I can’t stop thinking about all the women who said their tests were wrong (albeit they didn’t have the luxury of 3D scanning like I did).