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

Re: advise on a second Laparoscopy

From: Alyson (anonymous@obgyn.net)
Mon Nov 27 10:13:23 2006

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Reply: Tara: "Re: advise on a second Laparoscopy"

Tara, The endo could absolutely be ab issue in your trying to conceive. It can create chemical imbalances, block ovaries and tubes, etc. I know it is nerve wracking to consider a second lap when you worry that nothing will be found. I had my second lap only a year following my first. My original doctor insisted doing another lap was pointless because there was no way endo could have grown back in such a short time and while I was on meds. I sought a second opinion, he did the surgery and found extensive endo- considerably more than my first doctor had found a year earlier. It is important to remember that this disease tends to be progressive. Each person progresses differently. Not everyone will have the kind of rapid progression that I did and some women here have had even more rapid progression of their disease. I talked to my doctor about trying to coceive before he did my lap (the 2nd one). He said that data shows that the best success for getting pregnant with endo is within 4-6 months follwing a laproscopy for the removal of endo. Kind of makes sense...get everything cleaned out and get busy before it has a chance to really get going again. Obviously having surgery is a personal decision. I am not trying to talk you into it, but just ease some of those "what if" concerns. Also, if you really trust this doctor, I would take her advice. Unfortunately it can be rare to find a doctor dealing with this disease who is willing to suggest that you seek someone with more knowledge of endometriosis. I meantioned in my previous post (re: Endo and pregnancy) that a reproductive endocrinologist might be helpful. That was at my docs suggestion after she said that she was at the end of her expertise in dealing with this disease. Alyson

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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