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Re: perforation at hysteroscopy and subsequent conception From: Joanne Bulley (islesannie@yahoo.com) Tue Oct 31 05:09:47 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Larry Glazerman: "Re: Flu Shot in Pregnancy???" Previous message: Braun, R. Daniel: "Re: Flu Shot in Pregnancy???" In reply to: Dr Jackie Yeoh: "perforation at hysteroscopy and subsequent conception" Next in thread: Efrain Ramirez: "Re: perforation at hysteroscopy and subsequent conception" The "healing process" seems to be that 8 weeks (give or take a bit) from the injury - bones, soft tissue - various cells migrating in & out. That is part of the guesstimate. I had a patient who had a placenta percreta at 12 weeks and lost her uterus. The presumption was that she had had an undiagnosed perforation at a recent termination and the implantation was at the perf site and grew right through and out the uterus. Since this type of thing is unlikely to be definitively studied, we are left with guesstimates. If she ovulates at 2,6 & 8 weeks following the perf then she needs to wait about three cycles to HOPE that the perf has healed as well as possible. As I recall - placentation requires an intact basal layer to prevent the invasive placenta. thus more incretas at the lower uterine segment and prior scars. My $0.02!! Joanne At Mon, 30 Oct 2000, Dr Jackie Yeoh wrote: > >I have a patient who underwent hysteroscopy for premenstrual spotting >for diagnostic reasons and unfortunately suffered a perforation during >the procedure. The gynaecologist involved suggested she wait six months >before trying to conceive, but the patient has subsequently asked my >opinion as her GP (Aust equiv of family medical practitioner). No cause >was found for the abnormal bleeding incidentally. My patient is >querying what the evidence is for waiting this length of time and I have >found nothing helpful on Medline or other medical data base search. Can >anyone help to point me in the right direction? > >-- >Dr Jackie Yeoh, MB; BS FRACGP >GP, Adelaide, South Australia > -- Joanne Bulley, MD, FACOG Keene, NH, USA Take time to smell the roses. Next message: Larry Glazerman: "Re: Flu Shot in Pregnancy???" Previous message: Braun, R. Daniel: "Re: Flu Shot in Pregnancy???" In reply to: Dr Jackie Yeoh: "perforation at hysteroscopy and subsequent conception" Next in thread: Efrain Ramirez: "Re: perforation at hysteroscopy and subsequent conception"

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