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Re: LAP for ENDO soon...but is it needed?

From: Amanda (anonymous@obgyn.net)
Tue Oct 22 00:03:27 2002


Lauren, Hiya hon! I can see your point to this, and actually your argurment is very strong. Yes, endometriosis can only be diagnosed through a lap. Yes, doctors usually want to do the same treatment (lupron,synarel,etc..) after surgery as they would before surgery. The difference is if you have surgery with a doctor that is not very experienced with endo, let's say has maybe 8 patients with endo, you are not going to get the results after surgery that you would have with a more experienced doctor. Most gyns do not keep up with the research of endometriosis, and some don't even know all of the appearances that endo can take. Doctors that are not experienced with endo can overlook places that endo may "hide". And the majority of gyns out there are not aware of microscopic endo, and if they are, usually say that there is no way to get rid of it except through these other therapies (lupron, bcps, etc..). Yes, surgery is a very scary thing, and yes it does cause pain. Personally I would much rather know that I have endometriosis before I start taking medications for endometriosis.. especially considering the serious side-effects that these medications have on so many women. Would you take chemo-therapy just because you had the symptoms of cancer without actually getting a diagnosis of cancer?? Lupron, one of the most popular medical treatments for endometriosis, is a cancer drug that was developed for men with prostate cancer. I would never take a drug that strong without knowing for sure that I actually had the disease that I was taking it for. By the way, most gyns do NOT want to do a lap until it is the last resort. I know many women, including myself, that either demanded a lap, or begged for one because the doctor's relectunce to do surgery. (Maybe that's because they actually don't know what they are doing lol). Most doctors will start off with the lovely "wait and see" approach. Basically they just want you to keep a journal for a few months of your pain, no matter how much pain you are in. Then they will opt for the cbcp's. After that, Depo-Provera, Lupron or Synarel. Finally the doctors will agree to do surgery. If your doctor did surgeries that were uncalled for, in my book that makes him a bad doctor. If he didn't believe the procedure was necessary, he should not have done it. I understand your opinion here, and respect it. Everyone is entitled to their opinions. I just wanted to let you know why I had surgery before accepting treatment for endometriosis. These drugs are too serious to fool around with. I'm sorry if I have offended you, it was not my intention. Just wanted to voice my opinion also :). Take care hon. Love and Prayers,

--
Amanda Smith
ERC Awareness Committee Member
Coordinator
EndoCenter of Eastern New Mexico
http://www.endocenter.org

E-mail: endogirl78@yahoo.com erc_nm@yahoo.com endocenter_of_eastern_new_mexico@hotmail.com




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