No Scar Tissue

After the D&C last August,  my period's haven't been the same.   I barely spotted the first cycle after D&C but didn't think of it much so I figured the next cycle things would be back to normal.   Ever since then I have had very light cycles.  It improved slightly with estrogen cream/pill taken after ovulation but my endometrial lining sill measured around 5 mm. 

My Napro Dr. suggested I may have a.sherman's syndrome as a result of the D&C.  So I decided to see a Dr. that specialized in removing scars from the utrus.  After searching for a bit I came across a Dr. in Washington DC and saw him three weeks ago and my 2nd appointment was today.

At the first appointment we talked about my history.  He was very nice and informative.    He sent me off with a prescribtion for Estrace to be taken preouvlation and to come back for a histroscopy.

Last cycle was unmediated, no estrogen or progesterone.   It lasted 44 days.  The previous cycle I had started the estrogen cream and I think that threw off my cycle.  When my period started I was surprised.  I cramped for a couple of days with no bleeding so I thought it would never show or just end up with only spotting.  To my surprise I walk up in the middle of the night with bleeding.  Since the D&C I have never bleed at night during my periods.   It was also bright red and no brown spotting.  It lasted only 2 days with light flow but the was like a real period so I was encouraged that things may start looking better.   Like I said this was unmediated but I had two acupuncture treatments and I also drank red raspberry leaf tea pre ovulation so that may have helped it some.  

I started taking 1 mg of esterase after my period and today is cd 9 so I have taken it for 5 days.  So my appointment with the Dr. today started with an ultrasound and followed by a hysteroscopy.   The ultrasound showed that things seem to be normal but my lining is only 5 mm thick but It showed that I do have the triple layer but a sorry looking one.  My ovaries looked fine.   So we moved on to the hysteroscopy.

I hate having a hysteroscopy.   Although I had taken pain med prior to the procedure, it was still painful.   So the hysteroscopy showed no scar tissue in my uterus.  The opening of the fallopian tubes look find.  But my lining looks like I just finished a period, looking pretty bare after 5 days of estrogen.   So that is not good.  The Dr. said it seems like the receptors are not responding and I also produce enough estrogen on my own and the additional estrogen hasn't done any thing for my lining.
We discussed what my goal is at this point, if it is to get pregnant he said I am better of seeing a fertility Dr. and if I am more concerned with taking care of the pain to do another surgery to get rid of the endometriosis.    He referred me to another Dr. if I am interested in looking in to trying to get pregnant and that it is beyond his expertise. 

I don't want another surgery at this point.   Although I am relieved that there is no scar tissue we still haven't solved the lining issue.  If scar tissue was the problem at least he would have tried to remove it and that would have maximized the chance of pregnancy.  However, my issue is unresponsive lining and I think that is much harder to solve since it is not responding to the standard estrogen treatment. 

I have an appointment with my Napro Dr. end of this month.  We shall see what she recommends.  I doubt that she would be able to help me since she had suggested the estrogen cream and that did not help my lining much.   For the next few cycles I will focus on acupuncture and natural treatment and what ever she suggests and see if we see improvements.    I am willing to try to build up my lining say for the next 4-5 cycles.   After this I want to be med free and will stop the estrogen treatment that is feeding my endometriosis.   I have had an awful few days with the pain, it is worst pre ovulation and I can barely do my minimum daily chores.   This will have to come to an end soon.   Gone are the beautiful few months I had pain free :(.