Unnecessary D & C after a miscarriage can reduce your fertility

It's not uncommon for women who get pregnant after IVF to have a miscarriage. After all, the miscarriage rate is about 15% in all pregnancies, and IVF does not protect against a miscarriage. While this can cause a lot of heartache, doctors often add insult to injury by suggesting that patients do a D&C ( dilatation and curettage) to surgically evacuate the pregnancy. They justify this by saying that the surgery is a quick and simply minor procedure; and that they can send the pregnancy tissue ( aka POC, or products of conception ) for genetic testing, so they can find out why the miscarriage occurred. However, not only is this testing expensive, it's quite pointless, because it doesn't really change treatment options for the next IVF cycle, since these genetic errors are random in the vast majority of cases. However, if the result is abnormal, the IVF doctors will use this opportunity to up-sell their services, by suggesting that the patient do PGS when doing IVF in the next cycle, to reduce the risk of recurrence of another abnormality in the next pregnancy !However, PGS reduces pregnancy rates, and you can read more about why it does this athttp://blog.drmalpani.com/2015/05/how-pgs-overpromises-and-underperforms.htmlHowever, what's much worse is that the uterine scraping which the doctor needs to do at the time of the D&C actually reduces your fertility, because the curettage causes scarring and intrauterine adhesions. This is why we tell patients to alway...
Source: Dr.Malpani's Blog - Category: Reproduction Medicine Source Type: blogs