Should I have a hysteroscopy to deal with scar tissue that may be left after having chlamydia?
If you do have a lot of scar tissue and filmy adhesions following chlamydia, it could significantly reduce your chances of live birth, but the degree of scarring is very variable as some ladies will have a lot of scar tissue but others will have none. Some studies have suggested that the degree of tubal scarring may depend on your genetic make up. Furthermore, Serum seem to regard the slightly thickened, slightly less vascularised lining tissue that most other doctors regard as looking perfectly normal, as a little unhelpful to getting pregnant as they feel that a very gentle D&C (during hysteroscopy) together with some small cuts to the lining (see endometrial scratch biopsy) can encourage new tissue to grow which has a better blood supply to give an improved chance of implantation for the next 2-3 cycles. I would suggest that the following are indicators that a hysteroscopy might be a good idea: never having had a live birth, or having a long period of infertility since a live birth
