Reply to Which doc to see next? Third opinion? Unicornuate uterus and scaring

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[quote=Anonymous][quote=Anonymous]OP here.  I am now 44 and have been dealing with the whole fibroid thing and its repercussions for two plus years.  This is also secondary IF.  I carried to term a healthy child with no complications.    I cannot make sense of why no one's pointed out the unicornuate uterus (my current RE says it's not hard to overlook but he can't explain the two tubes)  and why two clinics have dismissed the post surgery report that diagnoses Asherman's, the importance of which I only recently realized. I have had three procedures at my new clinic to check for scar tissue incl an HSG and a sonohysterogram in 3d.  I read through the other thread on scarring and am thinking of getting a third opinion with Sacks and also seeing  Robinson at GW.   I believe my surgeon at GW trained with him. Ugh so many appointments and that's even before I work my way through the pre-ivf checklist.[/quote]

FWIW, Sacks missed my Asherman's.  I did three unsuccessful IVF cycles with him post-D&C and even asked about scarring.  He only did an HSG, which is not the optimal means of detecting Asherman's and will definitely miss it in some cases (like mine).  The gold standard for diagnosis is Hysteroscopy, which Robinson does (I can't say for Sacks, since he did not do it for me).  Robinson is generally wonderful (great doc and also treats patients well), and I credit him with saving my fertility.  In your case, I would not recommend Sacks since his philosophy is to be less aggressive with testing in general.  At your age, you want all the testing up front.[/quote]

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