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Cervical Scar Tissue Preventing Conception?

post #1 of 4
Thread Starter 
I'm fearful that my cervix might have some scar tissue following a LEEP (my second, first one was 12 years ago) procedure several months following the birth of my almost 2 year old daughter. The pap following this most recent was impossible - the physician simply could not get a sample. We repeated again a few months later and this time the practitioner (a different one - former homebirth midwife, now holistic gynecologist) was able to get a sample, but had to really pry at my cervix. She said it was nearly jammed shut. I asked her if that might prevent me from getting pg with #2 and she said as long as I'm having normal periods (I have been since dd was 13 months old) than sperm should be able to go up. Is this true? Do I need to worry? Should I contact the nurse practitioner (really sweet woman, great bedside manner) at the hospital where my last LEEP was performed to discuss my concern? If it does turn out that there is quite a bit of scarring (I have heard it referred to as cervical stenosis) what are my options? I've read that the only option, which may or may not work, is to have a D&C and then be inseminated relatively soon thereafter as the cervix oftentimes quickly re-shuts.

This is SO depressing. I really wanted to get pregnant the old fashioned way this time. I suffered from endometriosis and had to take a round of Clomid and then have an IUI to get pregnant with Isadora.

post #2 of 4
I've had LEEP also, and my ob/gyn insists that it will have no bearing on whether I get pg or not. She said that I may have problems dilating in labor, but the size of the opening in my cervix is the same as it would likely be without the scar tissue, so the sperm should be able to travel up there with no problems. I have fairly extensive scarring, but I'm able to have normal pap smears, so I don't know if mine is as severe as yours, though.

I'm afraid to ask what happens if my cervix can't dilate in labor...I'm guessing c section. Ugh.
post #3 of 4
Quote:
Originally Posted by rebeccalizzie
I'm afraid to ask what happens if my cervix can't dilate in labor...I'm guessing c section. Ugh.
I had a friend who didn't dilate in labor, and they determined that it was due to scarring after a procedure like you describe. They gave her an anesthetic and then used some kind of instrument to manually dilate her. I know, it sounds awful, doesn't it? But I think she was relieved to not have a c-section.
post #4 of 4
Thread Starter 
I wound up calling the nurse practitioner at the hospital where I had my last LEEP. Margee is her name and she is WONDERFUL. Unlike many practitioners, she is willing to take her time with me and answer all of my many many questions without making me feel as though she has better things she could be doing.
She agreed that as long as I'm getting normal periods each month, sperm can travel up. She advised me to keep trying for a couple of months (we've been ttc since July) and if I don't get pregnant we can do an ultrasound to determine if the scar tissue is a factor. She also said that it's usually more of an issue during a pregnancy (when it can cause pre-dilation and may require cerclage) or during labor, like you both mentioned below. She said most OBs then recommend C-section but I told her my friend had what wednesday's friend had and she was like "Wow, your friend must have a high pain threshold!" I told her "Nah...she was just determined not to have a C-section."

Anyway, I feel better having spoken with her. Guess I just need to be patient and see what happens. Easier said than done
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