EXTREMELY URGENT: Need answer by WED (6/18) so Asherman's surgery time can be finalized for Friday 6/20

Happyrn

33 Posts
Reply Posted on: Jun 18, 2014 at 1:04am
Hello Dr Braverman,

I hope you are well and I appreciate you taking my call last Friday AM. I have surgery this Friday (6/20) for the Ashermans lesions. How you answer this will affect if the surgery time needs to be increased for Friday.

I know a good majority of your patients have laps for endo. My question is: do you believe I should have my RE/OBGYN check for endometriosis via an explor. lap or just go ahead as planned with removing the Asherman's lesions via the vagina/cervix route
?

(If the surgery is successful and I can come to see you, I do not want to waste time having to do a lap later on.)

As a reminder:
Medical HX: 51 yr old, Hashimotos, Primary Raynauds, + ATA, past HX + ANA and borderline ACA (both negative now), low Protein S, MTHFR (C677T Heterozygous), NK cell Assay with IVIg native state 13.5% killed (I have other results) no DQ match with husband. No RA, no celiac via colonoscopy and blood test.
Reproductive HX: 1 TAB ~2-1/2 months @age 21, no HX of endometriosis via a lap in 1986, 6 miscarriages via OE IVF/DE IVF all within 5-7 weeks timeframe. No kids.

Thanks in advance and looking forward to seeing you soon!
Cindy

Dr. Braverman

2026 Posts
RE: EXTREMELY URGENT: Need answer by WED (6/18) so Asherman's surgery time can be finalized for Friday 6/20 Posted on: Jun 18, 2014 at 6:09am
I would certainly do the lap at the same time. Please have your doctor take photos of before and after any lesions that are treated. Lesions for endometriosis should be stripped not lasered our cauterized. If there are no lesions then photos of all areas should be taken. Your surgeon should be very experienced with endometriosis surgery so that nothing is missed and all lesions are correctly removed.
Dr. Jeffrey Braverman MD FACOG
Medical Director
Braverman Reproductive Immunology P.C.