Uterine scarring - Ashermans?

[Schoolrunmum81]

I'm worried I may have this. After 2 TFMR I had 4 surgical procedures in all for retained tissue. After the last procedure, it took 4 months to have a period. They did return as normal for around 18 months but in the last 6 months they have become very short and much lighter.

I've finally plucked up the courage to consider TTC again but at the ripe age of 43. I recently had a consultation with a fertility consultant as we have two frozen embryos. He has concerns that the light periods could be due to scarring so I'm now waiting on a date for a hysteroscopy with myosure. Really apprehensive about this as it was also the last procedure I had which caused heavy bleeding and what I now believe to be the cause of any scarring.

Does anyone have any similar experiences?

Hi! I don't have experience as such, but I had a MMC, MVA and then a further hysteroscopy to removed retained product.

At the time, I was very concerned about the risks of ashermans - still am. My periods returned quickly but they are much shorter than before the MMC.

I have done a lot of research on this. There are investigations they can do without a hysteroscopy - you can have a saline sonogram which is a scan with dye, which should show if adhesions have formed. This is much less invasive and would be unlikely to cause recovery issues you may have faced before.

Are you in London or close by? There are a few well regarded specialists in London. I would see someone who is experienced in the field - there are not many and it sounds like you don't want to waste time.

We have been trying for 6 months post MMC with no luck. I intend on looking into a saline sonogram myself in the new year, to see if this is the cause of the lighter periods, issues conceiving.

Hi thanks for your reply, I'm sorry you've gave a loss and further procedures too. I'm not in London, I'm north west but I called the fertility clinic today to ask about the saline procedure. It's not something they do, she said they offer hycosy but that just checks tubes. To be honest if there was scarring I'd want it removed asap so a hysteroscopy is probably best as it can be all done in the one procedure.

I feel so low and unlucky. DH thinks I'm overreacting and that everything will be fine. My age and history kind of dictates that this isn't always the case but he refuses to see it that way. Feel very alone .

Wishing you luck for the new year and hope you get a positive 🤞🏼