ENDO Messages for April, 2003: Re: Laparoscopic risks

Re: Laparoscopic risks

From: Rachel (anonymous@obgyn.net)
Wed Apr 30 18:58:12 2003

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In reply to: anonymous@obgyn.net: "Laparoscopic risks"

Anon, Endometriosis, ovarian cysts, and adhesions (scar tissue that can be caused by endo, infections, etc.) can all CAUSE infertility. If these things aren't removed, infertility will get worse and could cause permanent damage. A laparoscopy that includes removal of endometriosis, cysts, and adhesions will help restore fertility. This surgery will in NO WAY cause infertility. In fact, if you are trying to conceive, your best chances to conceive are from recovery to about 9 or 10 months if you do have endo. Using birth control is a good method to help prevent new endo from growing back, but it will not really shrink what you have. If the cysts shrink at all, it won't be enough for them to go away or to stop causing problems altogether. For your overall health, especially your fertility, it would be best for you to have this surgery. Plus, this is the ONLY way for you to be properly diagnosed. The surgery will keep you down for a few days, and recovery is different for everyone, and every surgery, but you will be just fine. Oh, and to answer your birth control questions. I am on continuous birth control pills. After the third week of pills I start a new pack right away to stop my periods, and I have a period once every 5 or 6 packs which works out to about 4 months. This works on the theory of retrograde bleeding as a possible cause of endo, where the not all the menstrual blood comes out, some is shot up, and blown out into the abdomen eventually forming cysts. The less blood flow you have, the less of a chance you have of developing new cysts. I had my second laparoscopy in November, and after 1 1/2 years of continuous birth control pills, I had no new cysts at all, only adhesions that were removed. There is no cure for this disease, and the sooner you diganose it and take control of it, the better off your fertility will be in the long run. I wish you much luck! Let us know if you have any more questions about the procedure.

-- Rachel

At Wed, 30 Apr 2003, anonymous@obgyn.net wrote: > >I was wondering about laparoscopic surgery and effects it may have with >fertility. I had an ultrasound (after complaining of bad cramps during >my yearly obgyn examination) and my doctor found some ovarian cysts on >both of my ovaries. My obgyn gave me the choice to "wait it out" by >using the birth control pill and seeing if the cysts will shrink. She >felt that doing laparoscopic surgery would be better because she would >find out exactly what is going on with the cysts (endometrosis, hormone >related, etc...). > >I am 30 years old, never been pregnant and would like to become pregnant >in the future. Generally, how invasive is this particular sugery as far >as fertility is concerned? Also, if it is endometrosis, how do birth >control pills help the problem? I have so many questions and the next >time I talk to my doctor will be for my pre-op!

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In reply to: anonymous@obgyn.net: "Laparoscopic risks"

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