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Re: Allen Master's Window (Endo in the peritoneum/stomach lining.)
From: Elaine (anonymous@obgyn.net)
Thu Mar 30 17:03:40 2006
Thanks for the article Kermit! I just wanted to add that my doctor found
endometriosis on my bladder peritoneum. I can't seem to find info
anywhere on this and am wondering if it is the same or a similar
condition as the stomach lining/peritoneal endo? Strange that I don't
have bladder problems but I sure have the pain in my lower abdomen!
At Thu, 30 Mar 2006, Kermit wrote:
>
>The following quote is from the website listed and is a response to a
>question about peritoneal/stomach lining endo. Seems to be kind of
>popular in here lately. Thought I'd share it with you! Have a great
>day! -Kerm
>
>This is the website that the following information came from:
>http://www.ivf.com/faq-one.html
>
>"[Allen-Masters Windows, Pouches, Endometriosis & Fertility
>I recently had endometriosis surgery. They gave me a video to watch of
>the pertinent parts of the procedure. The doctor stated I have a
>Masters Window. What does that mean? How it will affect my trying to
>get pregnant? H.S.
>
>During your menstrual period, endometrial cells may travel from your
>uterus into your abdomen. Endometrial cells are present in the
>abdominal fluid in most women at the time of their period. In women
>with endometriosis, for some as-yet-unknown reason, the body is just not
>as effective at clearing these cells from the abdominal cavity, and
>these cells are more likely to attach and grow.
>
>Allen-Masters windows are pockets or infoldings in the peritoneum, a
>thin membrane that lines the inside of your abdominal cavity. These
>pockets tend to trap endometrial cells expelled into the peritoneal
>cavity during your period. At laparoscopy, a biopsy of the tissue at
>the base of the Allen-Masters windows frequently shows endometriosis.
>Many physicians recommend that the peritoneal lining be completely
>stripped from the Allen-Masters pocket at the time of surgery.
>
>The presence of these pockets should in no way effect your fertility.
>The more important question you did not ask is whether mild or minimal
>endometriosis lesions on the peritoneal surface are a cause for
>infertility. The data are confusing at best. While there is certainly
>a greater risk of finding endometriosis at the time of a laparoscopy for
>infertility evaluation, this does not necessarily mean that the
>endometriosis causes infertility. Endometriosis can be the result of a
>failure to achieve a pregnancy, or it may be due to a genetic or immune
>factor that is also causing the fertility problems.
>
>The evidence to date, in all but one study, strongly indicates that
>treating endometriosis does not improve fertility. Unless significant
>structural abnormalities such as tubal damage, adhesions or ovarian
>endometriomas are present, most studies suggest that the best approach
>to fertility is to ignore the endometriosis and to choose the same
>treatments as would be used for unexplained infertility. Remember that
>the only way to diagnose endometriosis for sure is by a biopsy
>(requiring surgery).]"
>
>At Thu, 30 Mar 2006, Sue wrote:
>>
>>Hi all.
>>I underwent my second lap on Monday. My doctor found endometriosis on
>>my stomache lining, but he didn't remove it. He said it shouldn't
>>affect me. Has anyone encountered the same thing?
>>
>>--
>>Endo in NY
>>
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