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790669 tn?1465189099

Stenosis, Anyone?

Hi, I just had my HSG done today and they said everything looked good but I had Stenosis. Now I've gotta schedule my appointment with the fertility clinic and see when they're going to do my lap surgery. My question is ..anyone of you heard, dealt or known anyone who has had this and what they had to do to fix it..if they had it fixed. Thanks in advance.
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Avatar universal
Hi all I am having vaginal stenosis I wana ask is this pb interfere in conceiving a baby
Regards
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Avatar universal
I just had the same thing happen.  What was the outcome of this for you?  Did you have surgery?  If so, was it successful?
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790669 tn?1465189099
Thank you so much Annie.   I'm so nervous just reading that gave me chills. Do you think they'd do a laparoscopy and the hysteroscopy at the same time?  Wow, I've never had to have surgery before and after finding all this out it looks like I have quite a road ahead of me.  I guess I definitely got my stenosis from being born with it because I've never had any of the other ones. I'm sorry for asking so many questions. I have to wait until Tuesday to call the Fertility Clinic in Birmingham to set up my appointment. I HATE waiting. lol.  I'm 2 hrs from there and my doctor here is going to send my results there.  I've read very littly about a hysteroscopy. I guess I should get on that. Just in case!  But that's what the dr. that done the HSG said.  It was really really narrow and they got it in (well they thought) and when they moved me under the x ray thing it fell out. He said he couldn't get through that narrow space. So I don't know. I never thought about this before. I've got a million things going through my head now.   How bad does that hurt?  Is it successful? How long would I stay in the hospital?  It's alot to take in considering I've never had anything else go wrong. This infertility stuff is awful and definitely a roller coaster.

Thanks again Annie for all your help. I really appreciate it. :)  Take care.
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134578 tn?1693250592
COMMUNITY LEADER
Here is what Wikipedia says about stenosis of the cervix.  It sounds like what you are talking about.  

________

The word stenosis refers to any passage in the body that is more narrow than it should typically be, for example a narrowed blood vessel (aortic stenosis for instance) or a narrowed spinal canal (spinal stenosis). Cervical stenosis means that the opening in the cervix (the endocervical canal) is more narrow than is typical. In some cases, the endocervical canal may be completely closed.

Symptoms

According to the Nezhat Medical Center, "symptoms depend on whether the cervical canal is partially or completely obstructed. Pre-menopausal patients will have a build up of blood inside the uterus which causes sporadic bleeding and pelvic pain. Patients also have an increased risk of infertility and endometriosis."

Impact

Cervical stenosis may impact natural fertility by impeding the passage of semen into the uterus. In the context of infertility treatments, cervical stenosis may complicate or prevent the use of intrauterine insemination (IUI) or in vitro fertilization (IVF) procedures.

Causes of cervical stenosis

Cervical stenosis may be present from birth or may be caused by other factors:

* Surgical procedures performed on the cervix such as colposcopy, cone biopsy, or a cryosurgery procedure

* Trauma to the cervix

* Repeated vaginal infections

* Atrophy of the cervix after menopause

* Cervical cancer

* Radiation

Treatment

Treatment of cervical stenosis involves opening or widening the cervical canal. The condition may improve on its own following the vaginal delivery of a baby.  Cervical canal widening can be temporarily achieved by the insertion of dilators into the cervix.  If the stenosis is caused by scar tissue, a laser treatment can be used to vaporize the scarring.   Finally, the surgical enlargement of the cervical canal can be performed by hysteroscopic shaving of the cervical tissue.

________

Des-a-rae, please note that if this is what you have, they are going to need to do a different procedure than a laparoscopy.  They'll need to get at that scar tissue from the inside, not look at the uterus from the outside.  I think this is done by a hysteroscopy.

Anyway, good luck, I hope your surgeon gets rid of all the scar tissue.

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134578 tn?1693250592
COMMUNITY LEADER
Well, if the narrowing or blockage is caused by scar tissue, they CAN do surgery to remove that.  Even the worst cases of Asherman's are successfully addressed by surgery to remove the scarring.  I hope that's the case for you too.
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790669 tn?1465189099
  Hi, :)  Thank you for all the replies.

  He said I had Stenosis, narrowing of the uterus. At the bottom of my uterus right above my cervix he couldn't get the dye past that. He had to get something else to get the dye in there with and more dye of course because that was wasted. He showed me the pictures and pointed out where it was and it was really narrow.  He told me there was no way sperm would've ever been able to get where it needed to go because it was so narrow in there.

  I'm just wondering if anyone else has had this and if so how did they fix it?  I'm 31, they also think I have endometriosis and they had to do this HSG test before they schedule the lap surgery. I haven't been able to conceive and we've been trying for about 6 years now. I'm sorry for not being more clear..I'm just really confused myself. I've never had to be in the hospital for anything and I'm rarely ever sick with anything. My only problem I've ever had is really painful periods and of course infertility. My periods have become worse and worse as the years go by. And that's been for about the last 12 years now.   Thank  you all again. I am grateful for any input.
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134578 tn?1693250592
COMMUNITY LEADER
Stenosis does mean narrowing.  I don't think there is such a thing as stenosis of a whole uterus, it's usually a term referring to a narrowing of something that is shaped like a tube.  As far as I know, the uterus is not considered to be tube shaped.  Could he mean the cervix?  Or just the Fallopian tube?

You might read about Asherman's syndrome and see if that is what they were talking about, but frankly, in your position, I'd insist on an MRI of the uterus.  They can't see much at all when doing an HSG.
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1271743 tn?1320892461
I think that Stenosis means narrowing...
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790669 tn?1465189099
Of the uterus. He couldn't even get the lil tube in there to put the dye in . I was so bummed when I left thinking "how do they fix this" because I've never even thought of this before. I've read about blocked tubes, scar tissue etc. etc. but never this. Thank goodness I read where they can fix it and actually read about 3 different options.
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134578 tn?1693250592
COMMUNITY LEADER
Sorry, but stenosis of the what?  
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