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Re: Cauterizing endo and birth control pills as relief from symptoms?

From: April (anonymous@obgyn.net)
Fri Oct 31 22:24:34 2003


Wendee Being diagnosed with endo is a confusing anxious time. I was diagnosed when I was 16 and refused to read anything about it for a least a year. It scared me too much. I am now 26 and have taken almost every treatment there is medically and have been offered others that I have turned down. As for your questions: 1. I have had about 5 laps. 2 of them were just diagnostic and in tohe other three they cauterized or laser resected the endo. The ones where they receseted the endo took longer to recover from, as your insides are actually being burned a little. As others have stated It does not "cure endo" but rather just gets ride of the visable spots.

2, I am unsure if the endomerioma burting, as most of my endo has been "mild" I put that in quotes as the pain associated with mild endo is NOT mild !!!

3. Continuous bcp are usually the first route drs seem to try with endo (from my experience) as it seems to have less side effects. It is important to use something that suppresses your period because when you have a period your endomertium tissues sheds. This is normally in your uterus but with endo there are endometrium cells/tissues that are somehow other places in your body that also shed. This is what causes the pain. AS for Depo Provera....if you are concerned about hormones in your body...Depo may not be the way to go for you. It stops your period and has a number of unpleasant side effects in some people. Other people have very few to no side effects. There are other treatments that can also be used, Lupron Depo; Cyclomen(Danazol), among others. It is important that you explore these treatments and the side effects of each and then discuss them with your doctor and try and decide which is best for you.

4. AS other people have noted it is really up to the person and their DR as to whether or not to take a break while taking continuous BCP. Some people can continuously take them without taking a break without any problems while others have break through bleeding (spotting) and cramping. I am in the later group and have found that if I have a period every three months I have less side break through bleeding than if I continue to take the pill all the time. It is really a process finding out what is best for you, both in how long you take the pill and which pill works best for you.

Good Luck and I hope you are feeling better soon, April -----Original Message----- From: anonymous@obgyn.net [mailto:anonymous@obgyn.net On Behalf Of Wendee Sent: Wednesday, October 29, 2003 10:13 PM To: Multiple recipients of list ENDO Subject: Cauterizing endo and birth control pills as relief from symptoms?

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.



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