GynoFiles

But another cause has been discovered by Dr. Mousa Shamoni of University of Siena, Italy, and presented at the Annual InVitro Fertilization and Embryo Transfer Conference. That is scaring of the cervix after a C-section. These women may have scars that actually close the cervix, or scars that partially close the cervix, or pockets of fluid near the old c-section scar. Once these scars occur, the natural uterine fluids and/or menstrual blood then doesn't have the natural passageway out and can accumulate in the uterus. This can lead to obstructions that will prevent normal sperm passage, it can lead to problems with implantation, and chronic abnormal periods or pain. Whether it can cause out right infection is so far speculation. But since between a 1/3 and 50% of women at any given hospital are born by c-section today it's becoming more and more frequent. We know a lot about what internal scaring can cause in women who still have periods after having an endometrial ablation. W...

In a new study at the Mayo clinic they looked at the patients that underwent enedometrial ablation and also had a prior C-section to see if there was any greater risk of post endometrial ablation surgery. About 23% of their patient population had had a C-section before, which is a bit less than the national C-section overall rate of closer to 30%, but likely fairly close to their overall C-section rate. So just from the rate of C-section in this population we would have to say that a C-section would not protect against or cause a patient to need endometrial ablation! No additional complications were seen in these women, and two patients in each group: with a prior C-section, and without a prior C-section had a hole made in the uterine wall during the surgery so that it was concluded that statistically it was about the same risk although there were fewer women in the group that had had C-section, so a slight trend towards risk. In their study population there was no reduced effectiven...