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Altered menstrual cycle after D and C - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Menstruation and Miscarriage
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hi, I am worried that I might have asherman's syndrome          
Doctor :   Hi
Doctor :   Dr XXX here
User :   hi
Doctor :   May i know your age?
User :   I am 23
Doctor :   What symptoms are you having?
User :   I had a d&c in february and ever since then my periods have been irregular
Doctor :   Ok
Doctor :   Has the cycle length been altered oi abnormal bleeding is there?
User :   my cycles are actually more regular now (I used to skip months before the d&c)
User :   but in terms of bleeding, they are a lot less bleeding
Doctor :   Ok
Doctor :   Did it start immediately after D&c?
User :   and i don't get my normal symptoms like before i knew i was going to have a period because my breasts would get swollen and tender and i would get cramps
User :   my first period came 8 weeks after the d&c... it was very heavy bleeding
User :   then the one after was fairly heavy as well... but the last two have been very light
User :   and i have no typical symptoms
User :   now my period is one day of moderate bleeding and a couple days of spotting
Doctor :   You require a complete examination and investigations as hysterosalpingogram (an X-ray test of the uterine cavity
User :   i went to a doctor but she was very dismissive and said if i had ashermans that i wouldn't have any period
Doctor :   Or a Hysteroscopy (an outpatient surgical procedure). During hysteroscopy, a small camera is inserted through the cervix that allows your doctor to look at the inside of your uterus under magnification. These tests may reveal scar tissue partially or completely filling the uterine cavity.
Doctor :   Were your investigations done by the gynec?
Doctor :   Without a proper investigation it cannot be commented that it is Asherman's Syndrome
User :   she didn't do any investigation, just an ultrasound and pap smear
User :   could it be a hormonal imbalance instead?
Doctor :   In most cases, Asherman's is caused by D&C
Doctor :   But some hormonal imbalance can also lead to cycle alterations
User :   do you know what the risk is of developing asherman's after 1 d&c
Doctor :   You should also get your Hormonal evaluation done as LSH, FSH, TSH, Prolactin
Doctor :   AS has been reported to result from 25% of D&Cs performed
User :   the doctor called it a d&e, because it was a late term miscarriage, is that the same thing as a d&c though
Doctor :   Yes it is the same thing
Doctor :   I will advise you to get your proper investigations done as sometimes it leads to
Doctor :   Recurrent abortions and miscarriages
Doctor :   It is a condition where the uterine walls adhere to one another, usually caused by uterine inflammation
User :   do you think i should find a new doctor who will take me seriously and do the tests? Would it be appropriate to ask for a hysteroscopy?
Doctor :   Asherman's syndrome can be cured in most women with surgery
User :   oh okay
Doctor :   Yes you can check with another doc and get your all the above told investigations done.
User :   so do you think i should have this evaluated beforfe my husband and i try to get pregnant again?
Doctor :   No it is because of As only
Doctor :   Not before
Doctor :   It is caused by As
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