I started this blog back in January shortly after our second IVF-round had failed. As I’m sure you know if you’re reading this, the infertility journey has its ups and downs and some days, weeks, months are harder than others. After the second round, my heart was shattered and I couldn’t muster up the energy to write. Quite a lot has happened since January: I have had a few more tests done and completed our third IVF-round (a fresh cycle) in March and it was brutal for many reasons. That too failed and, truth be told, my heart was heavier than ever before. We are doing a second ERA now in May and a fourth egg collection round in June. I have no idea how that will go, but I’m ready to write again. So, here we go…
Asherman’s Syndrome, also referred to as intrauterine adhesions (IUA), is a condition that occurs when scar tissue forms on the lining of the uterus, often resulting in infertility. There isn’t any one cause of Asherman’s Syndrome, but it is expected that 90% of the cases are caused by a surgical procedure, and especially D&Cs. The main reasons for having a D&C are:
- after a miscarriage to reduce the risk of a serious infection;
- after childbirth to remove a retained placenta;
- to stop excessive bleeding at birth; and
- after termination of a pregnancy.
Thinking about this, it seems odd that a surgical procedure, which is supposed to help you, causes you further trouble… So, why is this?
A month ago, I left hospital after surgery feeling quite positive despite having a punctured uterus (the hole-in-the-wall) and a stitched-up tummy. Morphine does wonders to your mental health – I can see the benefits of being a junkie!
I thought I simply had to take the oestrogen tablets (progynoba) that I had been prescribed for six weeks, recover from surgery and then move to IVF early June… Bam!
BUT, what I learnt since leaving hospital is that:
- Asherman‘s Syndrome is not a straight-forward condition (in fact, it is quite a rare one so awareness about the condition is low — even among the medical profession)
- most women need the same operation several times to clear all the scarring; and
- a pregnancy with Asherman‘s can lead to all sorts of complications – including, increased risk of miscarriage and stillbirth because there isn’t enough space in the uterus for the baby to grow. SCARY SHIT.
I had my hysteroscopy scheduled for 18 April 2017, the Tuesday after the Easter weekend. I walked to hospital in the sunshine and remember feeling very positive. I was almost skipping down the street – in hindsight this might seem like odd behaviour for someone who was heading to hospital to be put to sleep…. who doesn’t love a daytime nap?!
I figured I wold be under for 5-10 minutes – after all this was just a quick check that everything was as it should be in my uterus. I thought I’d be out for a few minutes, wake up, recover and then skip out of the hospital into that beautiful, sunny spring day. I met the anaesthetist, the surgeon and signed the usual consent forms. All set. “See you in a little bit”, I said to H and then casually strolled into the theatre in my [sexy] hospital nightie (you know the one with an open back where you’re showing your bottom to everyone else on the ward).
I woke up hours later in a daze and in a lot of pain – and I could hear H saying “can I take a picture of the records” followed by “is that negligence?”. I was wheeled into the gynecology ward where they wanted to monitor me over night. I remember feeling confused: (a) why was I on the ward; and (b) why was I in so much pain?