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Re: What's the Deal?-Kristen
From: Alyson (anonymous@obgyn.net)
Wed Oct 5 15:12:17 2005
Kristen,
No problem...I've tossed those questions around myself. I certainly do
not want to invite more endo, adhesions and scar tissue. Part of the
reason I am having surgery again is that my pain drastically elevated
within months of my first lap to the point of being debilitating. My
last doctor did the lap for diagnostic purposes and it seems she was
very conservative with how she handled the endo when she found it. She
caughterized the implants that she found, which I have read is pretty
much the least effective thing to do. I've tried different birth
control pills, dietary changes, acupuncture, yada yada. My doctor
pretty much told me that I could get pregnant or go on Lupron, neither
are an option for me. So, I sought a second opinion with a well known
doctor in the area and that's how I wound up with the surgery scheduled
tomorrow. He really felt that since I am adamant about not doing Lupron
right now, that surgery is the only other option with any real
possibility of providing some relief. He's going to use CO2 laser
ablation, says it'll be more accurate, cause much less damage...then
he's putting me on continuous progesterone which should accomplish the
same thing as Lupron without the potetial side effects (i.e. no period
and no estrogen). I guess we'll see! I'll certainly keep you all posted
on how it all works out.
Alyson
At Wed, 5 Oct 2005, Kristen wrote:
>
>Alyson, just a quick note...my doc advised that surgeries actually cause
>more harm then good sometimes because endo is attracted to incisions and
>the scar tissue...did the new doc mention why a second one only a year
>after the first was needed? I apologize if this is being nosy! And since
>you're scheduled for tomorrow not much you can do about it but I just
>worry that some docs are so quick to decide surgery...i totally agree
>that it's the preferred option..i've been begging for one for years but
>the docs keep saying that it's a last resort or if i want to try and get
>pregnant which isn't an option for me yet.
>
>Good luck tomorrow!! I hope it gives you relief! Kristen
>
>At Wed, 5 Oct 2005, Alyson wrote:
>>
>>Jennifer,
>>I am going in for my second lap tomorrow. I was quite shocked at the
>>need to do so, considering I just had my first one a little over a year
>>ago. I had absolutely no relief from that one at all what so ever. In
>>talking to my new doctor I think it may at times have to do with how
>>aggressive your surgeon is when they are removing the endo. For
>>instance, in my first lap the doc merely cauterized the implants she
>>found. That doesn't actually remove them, it basically scrapes off the
>>surface layer. The new doctor is using a CO2 laser to pinpoint the
>>lesion and get underneath the surface of it. I'm hoping that is going
>>to make a difference.
>>I also think that a good bit of it has to do with the patient. Each
>>person's body is different and each person's endo advances at a
>>different rate. I think the quicker your endo advances, the more often
>>you are faced with making difficult decisions about surgeries and drug
>>therapy. For me another surgery was a better option at this time than
>>Lupron, etc. It is a cruel game we are all forced to play with our
>>bodies in an effort to preserve our organs/fertility and ease our pain
>>and suffering.
>>I don't mean to sound like a bummer. This site is fabulous for talking
>>to other women and finding out as much as you can about all of the
>>aspects of the available treatments, and then it comes down to what we
>>think is the best option for ourselves. Good luck to you.
>>Alyson
>>
>>At Tue, 4 Oct 2005, Jennifer wrote:
>>>
>>>In reading these posts, I often find a common trend.
>>>Multiple laps and the return of endo -- quickly and often.
>>>Is this the experience for many of you?
>>>It worries me to have so many laps done for the scar tissue aspect alone
>>>and the return bothers me because of having children, and honestly,
>>>because the endo causes me pain with intercourse.
>>>What has been your guys' experiences?
>>>What treatments have worked/ haven't?
>>>I worry about these things, esp. since my pain still seems to be there
>>>after the lap.
>>>Any comments are much appreciated.
>>>Have a nice night.
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