No period after m/c and hysteroscopy

[chaitu32]

I am new to this forum and have a  question.we were trying for baby#2; had Mirena inserted twice (a total of 10 yrs) removed it and concieved after 1 cycle but miscarried at 7 weeks in mid June didn't have a period after miscarriage; consulted a fertility specialist who advised me to go through a laparoscopy to find outwhats going on in the uetrus they found mild endo, adhesions in the uterus which was removed by hysteroscopy; now its been 5 week and no period... is this normal? Dr. has called me in for a ultrasound tomorrow... I am very nervous. Please help.

[mhv]

I am a little confused, again I don't understand alot about endo. and the difference between it and ashermans.  It kind of still sounds like asherman's to me.  I am just not sure.  i also don't know what you mean by "cleaning" everthing inside your uterus means... I do know that ashermans can start reforming immediately. AND 1 of the biggest problems after ashermans is a scant lining.   I wish I could be of more help to you and give you more direction... but could I suggest one thing?  You could post a question on Ashermans.org and see what response you get from them.
I can tell you 1 thing.... there is another person on here Kris71 and her doctor told her she didn't have ashermans, but just adhesions... and I recommeded that she call the #1 ashermans doctor in the world, who just happens to live in the same city as she does... and she went and got a second opinion from him.  She had ashermans.  This is your fertility you are talking about, please just consider doing a little research.
I look forward to hearing from you, and please shoot Kris71 a note.  Maybe it would help.

xo,
Melissa

[chaitu32]

Hi mhv,
hope you are doing well... Here's an update: I had an u/s and Dr. found my lininig to be scant; the next day after the appt i started period. Dr. asked me to get the HSG done and got some blood work AMSH i think to check my ovarian reserves. Got the HSG results back saying that I still have some scarring in the uterus as the cavity did not fill-up completely. The Dr. is possibly looking into getting another hysteroscopy to remove the scarring. I am just worried that after hysteroscopy I might develop another scarring and this could be a recurring problem. The Dr, cleaned everything inside my uterus on 09/02/10 and confirmed that I don't have Asherman's syndrome.

[chaitu32]

He said that may be my lining was thin as my system has not kicked in yet... My last period was 04/01/10... then I was pregnant which I miscarried in June and since June and then due to the surgery the doc had put me on birth control pill to keep my lining thin so he thinks I still have the effects of the pill... I will keep you posted after i get my results back. Thanks for your feedback :) and will keep you posted.

[mhv]

OH good!  No asherman's!  Glad to hear that!  Did he say what your lining was at?  I'm sure you would have a period even with a thin lining... so that's good too!  Did he say why he thought your lining was so thin?  Glad to hear your having an HSG.. that should be helpful.  I will be looking for your update afterwards : )

[chaitu32]

Update:
Had my u/s on Friday had very scant uterine lining... eggs in follicles... doc has asked to go for HSG to make sure hysteroscopy went went and no scarring had reformed... confirmed that i did not have asherman's and my endo was Stage 1. He also suggested to take a Blood test to test my ovarian reserves. Shortly, After the appt. I had bleeding. Now bleeding for 3 days freaked out thinking that I had no lining then what am I shedding. Called the nurse  she said i probably was shedding the scant lining I had. I will go for HSG on 10/13/10 and get the blood work done the same day. Will keep you posted.

[mhv]

Yeah, I will be interested to see what he has to say.  Definately ask him if it's endeometris or ashermans.  I don't know alot about endo. but do know with ashermans the adhesions start forming right away... just double check on your diagnosis ok?

[chaitu32]

thanks and yea will let you know... He supposedly removed the uterine adhesions but the surprising part is prior to this miscarriage i had nothing done in my uterus apart from the vaginal birth of my son with no issues; according to the doctor the adhesions do not form right away and the fact that i had hysterectomy last month to remove those adhesions and also has a polyp that was removed too. Not sure whats going on with my body... just wanted a second child so my older one is not so lonely :(. i hope God listens to my prayers soon.

[mhv]

I'm just asking these questions because I discovered i had Ashermans syndrome (interuterine adhesions), and was trying to figure out if that's what he was looking for.  It causes missed periods, among other things (ie thin lining).  I didn't know if he told you it was endometreosis or if he said interuterine adhesions...  I am just trying to figure out what is going on with you : )   Please let me know what he says tomorrow.  

I'll be thinking of you : )

[chaitu32]

He just said an ultrasound not sure what kind; probably the nurse said to see the uterine lining... no i have not had any periods since the adhesions were removed.

[mhv]

It sounds like they adhesions may have reformed.   Is he just going to do an ultrasound or a saline induced ultrasound?  Have you had a period since the removal of the adhesions?

[chaitu32]

No i had a natural m/c ...

[mhv]

Did you have a DnC after your miscarriage? .