My Life Abroad: The Adventures of Two Birds
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13
Aug '12

Miscarriage

This is a private blog post for friends and family that are sharing our IVF experience. It’s sometimes difficult to talk about so it seems easier at times to write about what’s going on so that everyone can understand what we are struggling with.

This year has brought us another miscarriage while attempting our 3rd and 4th try at IVF conception. Miscarriage is a very difficult thing to deal with and many times I feel as if “what’s the use, this is never going to work”. But we do continue. Many times it feels like a roller coaster, up and down, up and down, you’re pregnant, you’re not, you’re pregnant, you’re not – mentally it is the most challenging thing I think I’ve ever done.

We are down now, to our last two embryos, these two the least viable of initial six. After the last miscarriage we decided to go in and have a look around inside the uterus – a curette to clean the inside of the uterus and make it a more welcome place for the embryo to implant. During this surgery, in July, we found that there was an obstruction in the uterus that was keeping the embryos from implanting. I don’t know that it has always been there – taking the hormone drugs that I do, can make this obstruction grow larger and larger; this could have been happening over the course of the last two years of hormones in preparation for IVF. It’s called a uterine septum.

Your uterus (womb) is a pear-shaped organ, tucked away in your pelvis. A normal uterus is about 7.5cm long, 5cm wide and 2.5cm deep. Inside, it is hollow with thick muscular walls. The lower part of the uterus dips down into the vagina and is called the cervix. The upper portion is called the fundus and this is where the fertilised egg grows into a baby.

A small number of women have a uterus (womb) that differs in shape or structure from the norm. This is called a uterine abnormality. It is a bit of a catch-all phrase, and the figures reflect this. Between one woman in 100 and one woman in 30 has a uterine abnormality (Nahra-Lynch and Toffle 1997).

It’s also difficult to know how many women have an abnormality, because it’s possible to have one without knowing it.

The wedge-like partition may involve only the superior part of the cavity resulting in an incomplete septum or a subseptate uterus, or less frequently the total length of the cavity (complete septum) and the cervix resulting in a double cervix.

The resolution for this septum dividing my uterus is to have it surgically removed, which will happen on Wednesday the 15th of August. Once I am healed from this surgery we will try another IVF cycle, around the end of October. It has been said that this surgical procedure varies but in most cases provides an increased chance of conception.

We are hopeful of course, but our IVF adventure is coming quickly to and end. With only two embryos left the chances are getting further and further away. Let’s hope that this does the trick.

Article: http://miscarriage.about.com/od/problemswiththeuterus/p/septum.htm

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