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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote]
I call bs on your 30 percent statistic, particularly for women in the US going to a high end doctor/hospital.  I think you have your own personal agenda.[/quote]
(I'm the PP you're replying to)

Totally okay! It's good to be skeptical of the statistics I'm quoting here. But don't stop there. Please look for yourself and decide whether or not you trust the source.

The wikipedia article on Asherman's syndrome is a convenient directory of links:
http://en.wikipedia.org/wiki/Asherman%27s_syndrome

The 30% I quoted was from
[quote]AS has a reported incidence of 25% of D&Cs performed 1–4 weeks post-partum,[9][10][17] [b]up to 30.9% of D&Cs performed for missed miscarriages [/b]and 6.4% of D&Cs performed for incomplete miscarriages.[18] In another study, 40% of patients who underwent repeated D&C for retained products of conception after missed miscarriage or retained placenta developed AS.[19]

In the case of missed miscarriages, the time period between fetal demise and curettage may increase the likelihood of adhesion formation due to fibroblastic activity of the remaining tissue.[7][20]

The risk of AS also increases with the number of procedures: one study estimated the risk to be 16% after one D&C and 32% after 3 or more D&Cs.[21] However, a single curettage often underlies the condition.[/quote]

Wikipedia by itself is not authoritative, but it is a handy way to find primary sources.

As to "high end doctor/hospital", it's unfortunately a myth that only badly-performed D&Cs cause Asherman's. It's more likely to be something intrinsic about some women's uteruses and how easily they develop scar tissue. Only using suction (as opposed to curettage) is also not a surefire way to avoid AS.

I guess I do have an "agenda" in that I hope by sharing my crappy experience I can help another woman to hang onto her fertility.  Or do you think I'm being paid by big pharma to boost the sales of misoprostol? 800 mg (4 tablets) costs about $7. No one's getting rich off of it.[/quote]

You do realize that the particular cite for "up to 30 percent",is from an article that is more than 30 years old.  Medicine has advanced quite a bit since 1982.  Not to mention the fact we have no idea what the sample size was the article looked, etc. . .

I'm sorry that you suffered with its universally described elsewehre as a "rare" side effect of d&c.  However, I do think you are scaring off others from a procedure that is much quicker and for many women, much less painful both emotionally and physically than the alternative with a bare minimum of medical fact and a lot of personal emotion.  D&C also makes it far easier for the doctors to procure a tissue sample to determine the cause of miscarriage.[/quote]

I'm not the PP but after reading through this thread, YOU seem to be the one with the agenda. The other pp keeps saying "this is my experience" and "do your own research" and you keep coming at her like you have something to prove. It's weird.

You clearly preferred the d&c to the drugs. She didn't. Stop acting like her experience is not valid or that her complications were so rare as to not garner consideration. [/quote]

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