Asherman's/ uterine adhesions - some questions

[BeattieBow]

hi all,

I had a mc last Feb which ended up with forceps being used [very unpleasant], anyway since then I have been trying to ttc. Periods have become increasingly lighter - now only 1-2 days, even if i take progesterone. I do have cramps for several days before period starts, but they are not really painful, just like period pains.

I am wondering whether i have ashermans etc as a result of the mc. i have had my lining/womb etc scanned, and the dr said that womb lining was ok. But period still very light. so my question is - could I still have asherman's if the womb lining/scan were ok? Are there other symptoms too?

And my other question is if so, would they operate at the same time as doing the hysteroscopy or are they separate procedures?

I feel quite angry if it is this - I have seen a fertility consultant, who knows this history, but hasn't suggested that this may be a possibility.

Hi BeattieBow, so sorry to hear of your loss. I have suffered from Asherman's syndrome, and am just recovering from my second operation to treat it. It does sound like you have classic Ashermans Syndrome symptoms but that doesn't by any means you definitely have it, just that you should have tests done to rule it. The biggest battle for AS suffers is definitely getting that initial diagnosis. Even if you've had a scan, unless it was with an AS specialist it is unlikely they would be able to spot if you were suffering from AS. The two best ways of diagnosing are through an HSG or alternatively through having an hysteroscopy, having said that one of the best AS doctors in the UK does diagnose via 4D scan.

It is really important that you are treated by a dr who knows what they are doing otherwise they could well make the situation worse, it is important that the scar tissue is cut away with small micro scissors, rather than a laser for example, that a coil is inserted after surgery to help prevent the scar tissue reforming and that a protocol of HRT is prescribed ti help encourage the healing and formation of nice new endometrium after the operation.

I would highly recommend joining the Ashermans yahoo group, there is a list of doctors on there that have been recommended by other members who have been successfully treated by them, there is also a lot of support from other women going through the same thing, plus lots of information on the conditions. There are details on how to join at www.Ashermans.org. The two main specialists in the UK are Mr Adrian Lower and Mr Geoffrey Trew. If you have health insurance or can afford to see either of them privately, it would probably be the quickest way of getting the best treatment and diagnosis.

Best of luck

Hi Beattie I just posted you a message on the other thread, and I see HelenLouisy has already given you great advice.

Here is a link to the thread I started which also has more info www.mumsnet.com/Talk/miscarriage/1080899-Ashermans-Support-Thread-for-those-seeking-diagnosis-getting-treatment-or-TTCing-again-after-All-welcome