Thursday, February 21, 2008

Lining Check

I have an appointment scheduled for next Friday (Feb. 29) to have my lining measured. Dr. Dunn wanted to do it on CD 12 or 13, but as my luck would have it, those days fall on Saturday & we are settling for CD 11. I am not expecting a good measurement based on what I've seen the last 2 cycles (a lessening of bleeding and shortening of my periods).

So, my main question is, "Now what?" A bit of hopelessness is beginning to set in. I posted my question on an infertility board where doctors respond directly to all posts. This was part of the response I got when asking how I might respond to a newer treatment that has been shown to help with lining issues (Viagra suppositories):

Unfortunately, With Asherman’s syndrome, There is such widespread destruction of the basal endometrium (from which fresh endometrial cells must be generated), that improving blood flow with Viagra is often unsuccessful in improving estrogen-mediated endometrial development sufficient to achieve “adequate” improvement in endometrial growth. In such cases the women should consider stopping all treatment, adoption or resort to Gestational Surrogacy.


It is important to recognize that Vaginal Viagra does NOT work in all cases. In fact about 1/3 of women so treated will fail to show any improvement. This is because with certain causes of a “poor endometrium”, the basal endometrium has been permanently damaged and left unresponsive to estrogen (e.g. severe endometrial scarring due to inflammation, trauma or surgery).

I posted a follow-up question, but have not heard back yet. I'm just feeling confused, because Dr. Dunn seemed so optimistic. Surely there has to be SOMETHING they can do. But I have no idea what it would be. Another surgery? I guess I will get some better answers next week.

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