Re: Allen Master's Window (Endo in the peritoneum/stomach lining.)
From: Kermit (anonymous@obgyn.net)
Thu Mar 30 17:47:55 2006
Hi Elaine!
Glad you liked the article. The word peritoneum means a small thin
membrane that lines the abdominal cavity. I'm not sure if you have endo
in your bladder lining or on the outside of it? I have had endo lesions
on my bladder that have caused me frequency of urination and some pain
from time to time. After my lap last month though, my pain has been
much less. I believe my doctor excised or cut off the lesions that were
causing the trouble. I'm not sure if your bladder endo is like an Allen
Master's Window in the stomach lining or not. What a great question!
Maybe it is adding to your lower abdomen pain. Hugs to you!
At Thu, 30 Mar 2006, Elaine wrote:
>
>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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