So for those of you who’ve been reading my blog for a while, or who’ve read the About Me section, will know, Vitalabis my second fertility clinic, I’ve been with them for exactly a year now. And its been a year of really having my eyes opened. I didn’t want to leave my previous clinic, I went to Vitalab underduress and pressure from my husband and my friends. I went witha bad attitude, determined to find fault with them. Instead, they have completelywon me over with the level of care and their extremely high standards. In addition, they’ve also poked massive holes all of the care and treatment I’d received previously. Just about every time I’m there I learn something new, something that points out just how miserably my previous treatment failed me, for eg: my scan assisted ER on Tuesday that showed my cervix measuring 6.5cm’s and making me truly wonder about my previous IVF’s.

I’ve had to work hard at trying to put my previous experience behind me, there are a lot of things I have not shared on this blog, but things that my DH and I were put through at the previous clinic that should not have happened or if they had happened should not have happened the way they did. Those of you who know us will know what I’m referring to.

One of the greatest failures of my previous clinic was the fact that they do not include an HSG as part of their investigations. Now that I’ve had an HSG I realize just what a great failure this is, now that I’ve move to Vitalaband have convinced a number of friends to move with me, and we’ve all gone through our first HSG’s ever, now I can see what a great failure this is.

At the time of my HSGwe were to discover for first time ever the full extent of my internal problems. My previous clinic had noted during a lap procedure with them that my right tube was blocked, but by not doing an HSG they had in fact missed out on the following:

A partial Uterine Septum

A Uterine Polyp

And what I was later to discover was NOT just a blocked tube but was in fact a Hydrosalpinges

blocked-tubes

I also had uterine scarring and the only surgery ever performed on my uterus was by my previous clinic to remove Fibroids and pelvic lesions.

So, while under their care, I had all of the above mess going on inside me, I underwent countless timed and triggered cycles,  3 IUI’s, 2 full IVF’s and 1 Natural IVF, all of which were doomed to fail because of the total mess inside.

When I had my surgery with Vitalabto repair all of the damage, afterwards, Dr G told W and I that after seeing the state of my right tube, he is convinced that its the reason for all of my treatment failures and also for all of my miscarriages as the tube was filled with a combination of pus and fluid.

I hadn’t really given any of it too much thought till I was on the Fertilicare Knowledge Base last week and saw his question and the corresponding answer from Dr V:

LATEST QUESTIONS


 

I just wanted to know from Dr V how do pelvic adhesions affect ICSI/ET & implantation. I have pelvic adhesionsand suffer with very painful cycles because of this. FS doesn’t want to attempt removing the adhesions just yet, at until we have 1 child as the adhesions are quite bad and he is concerned about complications. I just wanted to find out how the adhesions affect ICSI?

March 6th, 2009

 

Pelvic adhesive disease per sae, does not influence ICSI/ET. The question is why the pelvic adhesive disease is present in the first place and more importantly, whether it is accompanied by blocked tubes that may lead to hydrosalpinges( tubes blown up and filled with water or pus) The presence of hydrosalpinges alone seems to be detrimental to the outcome of ICSI/ET and has been shown to reduce the success rate by as much as 50% until having been surgically addressed. Furthermore, stage 3-4 endometriosis, that can also lead to pelvic adhesions , has been shown to have a reduced success rate until having been surgically improved.

– Week 31 answers kindly provided by Dr. Stephan Volschenk –