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Do D&Cs Increase Your Risk of Infertility?

Updated on October 11, 2014
Young Woman Thinking
Young Woman Thinking | Source

D&Cs for Miscarriage may increase Your Risk of Infertility

Hi. I'm Kay. As a result of my misdiagnosed miscarriage story, I receive numerous email messages from women going through their own miscarriage scares. I've noticed that more and more women are emailing me who are suffering from Asherman's Syndrome (scar tissue as a result of D&C) or infertility after their prior D&Cs.

Because of these women's emails, I've been doing some research and believe that doctors are often pushing women into D&Cs for their own convenience and some of them are putting women's fertility at risk. I'd like to share a bit of what I've learned and when a D&C may or may not be the right choice. I really believe Asherman's Syndrome is far more prevalent than we are being told.

I am not a medical professional. The information I share is meant to supplement the information given you by your doctor. If you feel your doctor is not doing enough for you or not willing to listen to your concerns, I strongly encourage you to take what you've learned here and get a second opinion.

Do you have Asherman's Syndrome?

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Asherman's Syndrome

What is Asherman's Syndrome?

Adhesions (scar tissue) found within the uterus. The amount of scar tissue can vary from mild to severe.

What causes Asherman's Syndrome

According to the Asherman's Syndrome Community, adhesions are caused when there is trauma to the uterine cavity. According to information posted, up to 90% of all Asherman's Syndrome cases can be linked back to a pregnancy-related D&C. According to Ashermans.org Asherman's is believed to be under reported because a simple ultrasound cannot aid in diagnosing the condition. Approximately 1 in 6 women having their first D&C will develop Asherman's Syndrome and that risk increases with each D&C.

Symptoms of Asherman's Syndrome

If you have had a D&C, you may be at risk for Asherman's Syndrome. Women who have told me they have Asherman's Syndrome have struggled with infertility, light or no periods, painful periods and/or recurrent miscarriages.

Dilation and Curettages may also lead to Asherman's Syndrome in 30.9% of procedures for missed miscarriages.

— International Asherman's Association

Who Should Have a D&C?

If you have been diagnosed with a miscarriage, you may be wondering if a D&C is the best choice.

According to the American Pregnancy Association, choosing whether to miscarry naturally or have a D&C is a personal decision best left up to a woman and her physician. If you are more than ten weeks, a D&C may be necessary. Also, if you are showing signs of infection or are experiencing very heavy bleeding, a D&C may also be necessary. According to the APA, many women can miscarry naturally up to ten weeks with few problems. After ten weeks, they may still choose to miscarry naturally but may be at greater risk of D&C due to complications.

Please Remember: if you have complications, your risk will be greater if you do not have the D&C. D&Cs can be necessary. They may have risks but sometimes those risks are outweighed by the risks if you don't have one. Discuss your options with your doctor.

The risk of Asherman's Syndrome increases with the number of D&Cs performed; after a single termination the risk is 16%, however, after 3 or more D&Cs, the risk increases to 32%

— International Asherman's Association

Medical Research - about Asherman's Syndrome

Many doctor's and websites mistakenly indicate that Asherman's is rare. Medical research tells a different story

The condition is estimated to affect 1.5% of women undergoing a hysterosalpingogram (HSG), between 5 and 39% of women with recurrent miscarriage, and up to 40% of patients who have undergone D&C for retained products of conception following childbirth or incomplete abortion.

— International Asherman's Association

*New* Poll

Do you think that D&Cs may be overused during the first 10 weeks of pregnancy?

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Asherman's Syndrome Information on YouTube

More on Asherman's Syndrome at Amazon

Want to learn more about Asherman's Syndrome?

Asherman's Syndrome Information on the Web

Want to learn more? These are some very helpful sites.

Are you suffering from Asherman's or worried you may have Asherman's Syndrome? You are not alone.

If I don't reply to you here, please feel free to e-mail me directly at misdiagnosedmiscarriage@gmail.com

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    • amkatee profile image

      amkatee 6 years ago

      Thank you for the information. Although it is scary and concerns me now. I just started having a period 15 months after losing my son at 19 weeks and having a D&C because the placenta would not pass. We are considering having a baby. I am afraid now that I could miscarry again. I'm just not sure what we will decide. If you have a chance, I wrote about our story and how to create a memorial scrapbook to help in the grieving process.

    • profile image

      managrpro 7 years ago

      While launch a successful project is not a very much simple job. All of us require to be studied about project management prior to going real action. This one is a nice squidoo lens about design a successful project. Thank you very much.

    • profile image

      anonymous 8 years ago

      Hi, I am 28 years old, i had a rough birth of my first Baby 20 months ago, I ended up having emergency c-section, about 3months later, because i was still bleeding, I underwent a D&C. Dr told me the reason i was still bleeding was because my body didn't dissolve inside stitches. I went on the pill after that and i missed a couple of periods. I have now been of the Pill for some time, I have had a normal period since stopping the pill but now i am going on 80days since my last period. I have had hormone tests and a lot of other blood test all came back normal. I experience all the signs of ovulation, and I get period cramps often. I feel bloated. I have had an ultrasound approximately 2 months ago, ovaries and uterus looked normal. We are trying to conceive. My question is should i be asking my GP to investigate Asherman's syndrome or do my symptoms not quiet add up to that.I am getting very worried. Thank you for your time. Dayna.

    • profile image

      anonymous 8 years ago

      Hi Kay. I also had IUA (Asherman's) and two of my Youtube clips feature on this page (thanks :)) A lot of the research about the incidence or IUA is not new, it's just been a very well kept secret so doctors could continue performing D&Cs. Consent forms and patient info sheets about D&C in the US and most countries don't even mention IUA as a possibility. I wanted to mention that there are alternatives to D&C besides waiting for a natural expulsion which in some cases is not successful. Medical management using drugs like misoprostol, and surgical removal using hysteroscopic guidance (so the Dr can actually visualize inside your uterus, reducing the chance of injury) are acceptable alternatives. In particular, drugs will eliminate any risk of IUA and can be used during first and second trimester m/c. Please see my clip about the alternatives to D&C: http://www.youtube.com/watch?v=s4mmS4rasyA. My channel is www.youtube.com/Ashermans. Good luck in your journey.

    • Cari Kay 11 profile image
      Author

      Kay 8 years ago

      I know. I didn't know this existed until women started emailing me about it. I was really surprised when I started looking into it more. Many sites claim this is rare and, yet, I'm hearing about it more and more. Newer research certainly is indicating this a growing problem. thank you for the comments :)

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      raindark 8 years ago

      Wow i didn't even know that this existed.I am currently trying to get pregnant and have been doing some research. I think that your site is great ,very well laid out and informative.keep it up .

    • SherryHolderHunt profile image

      SherryHolderHunt 8 years ago

      Great information! 5*s