|Discussion in 'All Categories' started by MANISHA SANJEEV DROLIA - Aug 31st, 2011 9:13 pm.|
MANISHA SANJEEV DROLIA
|MY MARRIAGE HELD ON 2002.3-4 TIMES ABORTION OCURRED.I AM NOT CONCEVING.AS PER MEDICAL REPORT MY UTERUS CAVITY IS SMALL IN SIZE.UTERUS IS Y SHAPED.DR.ADVISED FOR HYSTEROSCOPIC METROPLASTY.MY WEIGHT IS 74KGS.I WANT TO KNOW SIDE EFFECTS OF H.M.OPERATION PL.HELP ME.I BECAME TOTALLY FRUSTATED.PL.GIVE UR VALUED OPINIONS.AWAITING UR FAVOURABLE RESPONSE SIR.THANKS.MANISHA SANJEEV DROLIA,INDORE.(M.P.)|
re: PREGNANCY NOT CONCEIVED ABORTION OCURRED EVERY TIME. by Dr Sadhana - Sep 16th, 2011 10:38 am
|DEAR MANISHA SANJEEV DROLIA
We are concern about the agony you have. Originally, hysteroscopic metroplasty was developed in order to remove a uterine septum, a congenital anomaly which was responsible for recurrent miscarriages in some women. This septum resection is a useful procedure, and is a significant advance in our management of women with uterine anomalies.
The danger is that doctors with a hysteroscope tend to see uterine anomalies everywhere !
The size of a normal uterus varies from woman to woman, and many fertile women have a small uterus which is a normal anatomic variant. When these women not get pregnant. The uterus enlarges normally during pregnancy, allowing them to give birth to a healthy baby. However, when a doctor notes a "small uterus" in an infertile women on vaginal ultrasound scanning, they diagnose this as a case of " uterine hypoplasia " and propose hysteroscopic surgery, to increase the size of the uterine cavity. This "minor surgery" called a hysteroscopic metroplasty.
Hysteroscopic metroplasty is supposed to improve the uterus's ability to "hold the baby" - and since it's such a simple procedure, and seems so logical, many patients agree to it.
Many gynecologist also overuse this procedure to correct minor anatomic variants of the shape of the uterine cavity, as " diagnosed " by a HSG ( hysterosalpingogram).
Many normal fertile women have a "T-shaped uterus or y shaped uterus" or an "arcuate uterus". These are normal variants. However, if an infertile women has this sort of cavity on her HSG when seeing a over enthusiastic gynecologists, she is very likely to be diagnosed as having a "uterine anomaly" which needs to be corrected by a hysteroscopic metroplasty !
In our opinion get one MRI of uterus and take some second opinion before going for this procedure.
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