I figured I'd start a little topic to talk about the particular fertility issue that has affected me. It's fairly common, though doesn't seem to be as common as endo, pcos, mfi, and some of the other lovely issues we get to deal with! Of course, many of you have heard my stories, but I figured I'd track it here for the reference of possible new members and anyone who discovers they have the same problem. When I had my sonohystogram, they discovered two abnormal structures in my uterus. One is an adhesion, which is scar tissue. It stretched like a diaganol line across my uterus and kept it from "opening" fully with the saline. To have just one adhesion (all they see, for now) could be random, and probably isn't too uncommon. Usually adhesions are the result of infections or D&C procedures. I've had neither (unless an infection went undetected??). Severe adhesions can prevent proper menstrual bleeding, and that condition is called Asherman's Syndrome. I don't believe I have that. Just the one stupid adhesion, we hope. DH described it like pinching chewing gum and then stretching your fingers open, lol! The other thing they found was a septum. Fascinating, really. Did you know that when you are forming in your mom's uterus, you start out with two tubes called Mullerian Ducts (hey, everyone should discover something and get it named for them!). They develop into the fallopian tubes, and come together, and fuse to form the uterus. If that fusion process in incomplete, you can have some kind of "Mullerian Anomoly." These include bicornuate uterus (one uterus with two distinct cavities), didelphys uterus (two seperate uterii, each connected to a fallopian tube), suptate uterus (uterus with a "wall" of some length dividing the uterus), etc. Pretty crazy stuff, click here for more info if you want. So, it's official, I'm an Anomoly. But, I think we all already knew that about me, lol! I have a septum in my uterus. It is not the full length of my uterus, but not "insignificant" either. At one point the ultrasound showed two dark areas (openings) with a white area between them (the septum)... Like looking up a nose, lol! We won't know the exact extent of either of these things until I have surgery. The thing about these anomolies (both the adhesion and the septum) is that they don't necessarily prevent getting pregnant (though they certainly don't help), and some women even carry full term with no problems. My HSG was clear and I bleed fine, so they don't have me fully blocked. But they are notorious for causing miscarriage and pre-term labor, because the uterus just isn't shaped right or flexible enough to accomodate the baby as it grows. Many women aren't diagnosed until they have these unfortunate losses. So, I guess I'm lucky they found it now. I will have a Hysteroscopy to cut the septum and adhesion. Makeover and Remodel my Uterus! While I'm knocked out, they will also do the ever-popular Laparoscopy, to look for Endometriosis. Just in case. Something like Endo would be more likely to cause no-BFP than just the uterine issues, but I'm glad to be getting those things fixed! So there you have it. All this time I was happy I ovulated regularly and considered myself lucky for that. My hormonal systems check out fine. Who knew my uterus had structural issues!? Until my surgery, it has been condemmed, closed to occupancy by putting me on the pill. I'll keep this thread posted!