As I said in my previous post, the fundus of my uterus - the top part - is covered in adhesions (scar tissue) that cover over 25% of my uterine cavity. When an embryo implants, it most often implants in the top, posterior (backside) of the uterus. Because this area is scar tissue that has no blood flow, an embryo would basically "bounce" off the scar tissue and either (1) not find a good place to hang out for the next nine months, (2) find a place to implant and miscarry, or as I asked Dr. Super (3) implant somewhere, grow into what appears as a viable pregnancy and become a late m/c due to lack of blood flow or, worse, (4) implant, grow, and need to be an early delivery ending in fetal demise due to IUGR.
So . . . the scar tissue needs to go. Dr. Super thinks it is possible for a fibroid to have regrown behind the scar tissue, but it can't be seen until the adhesions are gone. I'm in the process of setting up everything for my exciting surgery. Sounds like it will need to be a laparascopic hysteroscopy in which they'll remove the scar tissue and any potential fibroid behind it. I talked with Nurse Amazing yesterday, and Dr. Terrific is on board for
What will the surgery "look" like? Well, it sounds like the adhesions need to be "shaved down" during the surgery. It's possible that two surgeons will need to work together to make that happen. I'm going to discuss that with Dr. T. I want this to be the LAST surgery I need. I think four in three years is plenty. Anyway. . .
After the surgery is complete, Dr. Super is recommending that I am placed on a strong regiment of E2 in order to help the lining quickly heal and replenish itself. Estrogen is the hormone that rebuilds your uterine lining. The most exciting part (note: SARCASM) is that Dr. S also recommends that a balloon be placed in my uterus and inflated to keep my uterus expanded. When raw tissue (such as the inside of my surgeried ute) touches, it adheres to itself to increase blood flow. That's what creates the adhesions, which is why Dr. S thinks my adhesions came from one of my previous surgeries (either D&C or EHLC-Rita). The balloon will remain inflated in my uterus for at least 3-4 days post op, and will create quite a bit of cramping. The balloon will apparently have a tube that hangs out of me (ew ew ew!) and will be taped to my leg until I go in to have it removed. I found a few pics online, but you can search those on your own. I'm surely not posting them here!
How much I have to look forward to, huh??? The things I/we have done to simply have a baby.
Hopefully my AMH results will be in soon. Pray for normal! So - what else do you want to know? Just comment with your questions & I'll try to answer them. I'm exhausted, finished rambling (for now), freaked out a bit after talking about the balloon & going to bed. I hope I don't have balloon dreams now.