Anyone have scarring issues or trouble concieving following a D&C?

Anonymous
I got pregnant easily but then had a miscarriage and D&C. I'm a little worried that we aren't conceiving as quickly/easily as before.

My periods seem fine, but I was wondering if perhaps there is scarring or some problem resulting from the D&C.
Anonymous
Yep. You're smart to worry. See if you can get a hysteroscopy. Dr James Robinson at Georgetown knows his was around Asherman's. Best of luck to you.
Anonymous
It's possible. I've had 2 D&Cs and my RE later found a 1cm diameter scar during a saline ultrasoud. She was going to do a hysteroscopy but I got successfully pregnant before she had a chance. Good luck.
Anonymous
OP here. Ugh. Why don't they warn women? Honestly, I would have postponed the D&C to see how things progressed naturally if I thought it would at all impact my fertility.

My OB gave me no indication that this was even a risk. She kept saying how it's a standard procedures, et cetera.

Meanwhile, I was grief-stricken and just wanted it to be over.

Anonymous
Anonymous wrote:Yep. You're smart to worry. See if you can get a hysteroscopy. Dr James Robinson at Georgetown knows his was around Asherman's. Best of luck to you.


+1. Thanks to him, I now have a baby.

And OP, I agree with you thta it's frustrating how little info you get about scarring when deciding on a D&C.

I don't know if you are the same OP who posted a similar question on the Expectant Mom's board, but I wrote a much longer response there. Even if it's not you, you may find that thread helpful.

http://www.dcurbanmom.com/jforum/posts/list/365263.page
Anonymous
OP one thing to remember is that many (myself included) had D&Cs with no scarring (verified by resting at RE). I think scarring is actually quite rare. But I won't lie and say I wasn't worried - hence the testing.
Anonymous
Anonymous wrote:OP one thing to remember is that many (myself included) had D&Cs with no scarring (verified by resting at RE). I think scarring is actually quite rare. But I won't lie and say I wasn't worried - hence the testing.


Actually, the incidence post D&C of Asherman's is quite high 30+%. But I htink the majority of those cases don't impact fertility. I seem to recall a stat of around 10% post-D&C scarring that's problematic, but I can't recall where I saw it.

Lots of information at:

www.ashermans.org
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