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Is Pregnancy Possible For A Patient With Perforation In Uterus?

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Posted on Wed, 6 Apr 2016
Question: Doctor today TVS pelvic scan was done and the doctor told me my uterine wall was very thin, and other doctor told me they had seen perforation in my uterus one year ago I had laparoscopy myomectomy done.

Am very much depressed when t he doctor said I have no IVF option too. Please help me.
doctor
Answered by Dr. Sameer Kumar (42 minutes later)
Brief Answer:
primary infertility + endometriosis

Detailed Answer:
Hello,
Thanks for the query to hcm,
You have attached the OT notes of lap myomectomy done 1 year back but what about the TVS scan reports which are more important as of today. Please upload the TVS reports as well for us to be able to give you a better opinion.
Regards
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Sameer Kumar (8 minutes later)
Sir,

Today reports are not given they said only after two days they will give.
They told us verbally.
and in one out patient report they have written +Or/v with H/A
doctor
Answered by Dr. Sameer Kumar (19 minutes later)
Brief Answer:
TVS REPORTS ARE REQUIRED.

Detailed Answer:
Hello, welcome back,

There are chances that you may have had a perforation during the previous surgery of lap myomectomy which was quite extensive , removing 4 fibroids, the one being deeper and close to endometrium as well. I really can't comment on the thinness of the uterine walls without seeing the tavs report , but if they have notice d a perforation and walls are thin then not just ivf but sustenance of pregnancy may also be risky as there may be high chances of rupture during pregnancy as well.
So please send the TVS reports. Let me know if you have further questions. I will be more than happy to clear any doubts

Regards
Above answer was peer-reviewed by : Dr. Naveen Kumar
doctor
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Follow up: Dr. Sameer Kumar (1 hour later)
Sir,

I will upload the TVS scan report as soon as possible.
I have a doubt can the perforation heal by itself?.
and the wall of the uterine be thickened by diet or medication.

Sir please suggest if by any means I can be pregnant.
doctor
Answered by Dr. Sameer Kumar (9 minutes later)
Brief Answer:
it would be risky.

Detailed Answer:
The healing post surgery occurs by a scar formation and scars take time to strengthen may be 1-2 years but for a scar to hold pregnancy in uterus is highly risky. Even perforation would heal naturally but with fibrous tissue formation and not the normal uterine myometrium , so its difficult for me to comment on the resilience of the uterine scar as of now.
Sustaining a pregnancy till term would be risky indeed.
Regards
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sameer Kumar

OB and GYN Specialist

Practicing since :2002

Answered : 1782 Questions

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Is Pregnancy Possible For A Patient With Perforation In Uterus?

Brief Answer: primary infertility + endometriosis Detailed Answer: Hello, Thanks for the query to hcm, You have attached the OT notes of lap myomectomy done 1 year back but what about the TVS scan reports which are more important as of today. Please upload the TVS reports as well for us to be able to give you a better opinion. Regards