ENDO Messages for November, 2006: Re: advise on a second Laparoscopy

Re: advise on a second Laparoscopy

From: anonymous (anonymous@obgyn.net)
Mon Nov 27 09:21:40 2006

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Go to one of the endo specialists. There is a yahoo group http://health.groups.yahoo.com/group/EndoDocs/

you can ask there for doctor suggestions, and search previous posts. Your doctor is right, and you are lucky that she admits that you need a specialist - most specialists are "out of network" so having your doctor's backing helps with the insurance.

There is definitely good reason to have another lap - provided it is with a competent doctor who will excise all of your endo. Most women who have numerous repeated surgeries are having their endo burned off with a laser, also called "ablation". It can burn healthy flesh, and leave carbon deposits, and the doctor often leaves endo behind because they can't tell how deep it goes. Also, most laser surgeons will not remove endo from bladder, bowels, or other difficult areas.

In other words, all laparoscopies are not equal! You need to find a skilled excision surgeon. Good luck!

At Mon, 27 Nov 2006, Tara wrote: >
>I'm just looking for some advise...
>
>I was diagnosed with Endo three years ago with my current Doctor through
>a laparoscopy... at that time she was able to remove only a small
>amount of my endo. Directly after my surgery my DR suggested Lupron for
>6 months, which I did and though the pain subsided for 4 of those months
>they returned almost immediately after my injections stopped. For the
>past two years pain meds have done nothing to help... and my Dr is out
>of suggestions. She thinks I should see a new specialist. She informed
>me that the new doc will probably want to perform another Lap to make
>their own diagnosis. I see many of you have had NUMEROUS laps and was
>just wondering if they were only able to see and remove a tiny amount
>the first time, is there any real point in going through that again?
>Have any of you had better success on your second, third...etc? Or do
>you have any other suggestions as to another treatment I should talk to
>my Dr. about? A big factor right now is that my husband and I are
>trying to get pregnant... will that be an issue?
>
>Thanks for any suggestions, advise you can give.

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