Do D&Cs Increase Your Risk of Infertility?
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?
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
- Asherman syndrome--one century later
Despite advances in treatment, women with uterine adhesions continue to have difficulty with fertility and pregnancy.
- Intrauterine adhesions
Discusses pregnancy and live birth rates in women who suffer from Asherman's Syndrome caused primarily by D&Cs.
- Prevalence of Asherman's syndrome after secondary removal of placental remnants or a repeat cur
Three months after having D&Cs, 50 women were examined. Forty Percent of them were found to have Asherman's Syndrome.
- Understanding Asherman Syndrome
A Consultant Gynaecologist in the UK discusses Asherman's Syndrome
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
Do you think that D&Cs may be overused during the first 10 weeks of pregnancy?
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.
- Asherman's Syndrome Organization
Probably the best resource for learning about Asherman's Syndrome. You can find stories of women who have been diagnosed with AS as well as support groups and information to share with your doctor.
- International Adhesions Society.
This group seeks to educate about various types of adhesion-related disorders including Asherman's Syndrome
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 firstname.lastname@example.org