HRC Fertility’s Dr. Charles March: A Wealth of Experience as an Infertility Doctor

Tuesday, December 5, 2017 | 12:08 am

Dr. Charles March has been helping women and couples with infertility issues for nearly 45 years, with his main work being the correction of intrauterine scarring, a condition known as Asherman’s Syndrome. “Although since 1973 I have worked in all areas in the management of infertility and repeated miscarriage, I’ve concentrated heavily on conditions of uterine surgery and helping couples who have trouble getting pregnant or staying pregnant,” he said.

“There are a number of conditions that can cause trouble,” Dr. March continued, such as: Defects in the development of the uterus prior to birth, fibroids inside of the uterus and uterine scarring. I’ve probably treated more patients for uterine scarring, than anybody in the world, and certainly more than anyone in the states.”

Dr. March said in his 44 years of being in practice, he believes he has treated at least 20,000 patients, but he says “There are some things you can’t fix whether it’s the uterus or other issues.” The doctor continues to say a lot of women have problems with infertility because of a D & C (dilation and curettage). Dilation is a term used for opening the cervix and is done to access the uterus. Curettage is the sampling or scraping of the uterine lining, which is called the endometrium. Most often a D & C is done for a pregnancy termination or because of a miscarriage or bleeding after a delivery.

Dr. March said that the percentage of women he has been able to help depends on the factor(s) leading to the scarring. If scarring occurred after treatment of a miscarriage, the cure rate is around 95%. If the scarring occurred because of bleeding after a pregnancy it then drops to 50%. The possibility of achieving a cure is even lower, dropping to 30%, if the scarring occurred following surgery to remove fibroids (noncancerous muscle tumors of the uterus).

Dr. March said that often doctors are not aware that scarring developed after they had performed one or another type of uterine surgery. “What tends to happen is that after the first doctor performed a D & C, and the patient subsequently developed either light periods or no periods, she is reassured that all is fine and the change in her menstrual pattern is related to stress. After many months of frustration, she transfers her care to another doctor who makes the diagnosis of uterine scarring and she undergoes treatment. However, the first doctor never learns that his or her surgery led to the scarring.”

According to Dr. March, a D & C is a “completely blind procedure” because doctors cannot see what is happening inside the uterus. However, in order to reduce the risk of uterine injury doctors can perform a D & C under ultrasound guidance. Dr. March says most of the time after a miscarriage and D & C, menses resume in six to eight weeks. He cautions that anything beyond that time may be a warning sign and time to schedule an additional follow-up appointment.

Dr. March is excited about all the wonderful advancements that have become standard practice for the management of infertility over the years. As he stated “We didn’t have a heck of a lot when I started, but are now able to do things today that we couldn’t do years ago and are able to help so many more people today.” “New medical and surgical treatments as well as key developments in the embryology laboratory are introduced almost daily. Every day I come to work, is like going to Disneyland!” “It is a wonderful, wonderful field. To be able to share in the happiness of a couple and to help their dreams come true is just outstanding!”

If you are having problems with infertility or repeated miscarriage, visit Dr. March at HRC Fertility or give him a call at (626) 440-9161.

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