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Re: Cauterizing endo and birth control pills as relief from symptoms?From: linda (anonymous@obgyn.net)Thu Oct 30 14:48:04 2003
At Wed, 29 Oct 2003, Wendee wrote: > >I'm 27 and have had undiagnosed Endometriosis for about 5 years now. On >the 18th of Oct the pain was so bad I would up in the ER where I was >misdiagnosed with a ruptured ovarian cyst. I scheduled an appointment >for the following monday with an OBGYN, and we decided a laparoscopy was >needed for a definative diagnosis. The surgery was on the 28th, and I'm >still awefully sore, but at least I now know the reason for all the pain >of the past years. My follow-up appointment isn't until the 10th of >Nov, and I've got about a ton and a half of questions. > >1: My doctor told me that I would be in more pain for a bit longer than >normal because she cauterized two large spots of endometrium on my >ovaries. Has anyone else had this procedure done? Is it a normal "cure" >for those spots? Did your healing process seem to take longer than the >estimated two to three days? > >2: The pain that landed me in the ER was probably, acording to my doc, >endometrioma that burst. Anyone heard of this before or know anything >about it? > >3: It's been recomended to me to start birth control pills, progesterone >only if possible, to control the endometriosis. I hate birth control >pills, and in the past tried four or five kinds before giving up on >them. (In general, I really don't like the idea of putting a bunch of >hormones into my body that aren't there through my own hormone producing >glands.) Has anyone else out there found that the pill helps with endo >symptoms? My doctor seems to think that either the pill or depo-prevara >(sp?) would be the best route for me. > >4: With continuous birth control pill, do you have a period at all, or >do you continue taking the pill without a break and so skip your >periods? And does anyone know how this affects fertility and getting >pregnant later on? (I still want to have children, just not quite yet.) > >Any thoughts or help from anyone is appreciated greatly. > >-- >Many Mahalos, >Wendee. >
-- Hi Wendee. I've had 4 laparoscopies and it usually took about two weeks before I was back to anywhere near normal. I don't know who came up with this 2 or 3 days but it's definitely off. During my last laparoscopy my doc severed some nerve endings, which has helped. As far as birth control goes, I've been on 5 lower dose types and 1 medium dose type over the last 15 years. I found that after a while the lower dose types just weren't enough and the pain would get worse. I used to have a lot of spotting as well. You kind of have to figure out which one works best for you and not be afraid to ask for a different bcp if one doesn't. Right now I have started a continuous bcp regiem. I take min-orval(nordette in the US) which has the same dosages as the new Seasonale that they are supposed to be offering soon. I take it for 3 months continuously and then take a week off. So far so good. I'm on my third month and I find it really helps with the pain and as a bonus my mood swings aren't so bad( my husband loves this). In a couple of weeks I'll have my first period since I started so that will be the real test of how well they work. I don't think continuous bcps affect fertility any more than using them the regular way, at least not according to my doc. Hopefully this info will help. Good luck. Linda
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