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Re: advise on a second Laparoscopy
From: Tara (anonymous@obgyn.net)
Mon Nov 27 11:28:00 2006
I definitely feel that it's time to start reconsidering having a second
lap, I guess I'm just a little apprehensive. I really want to make sure
that it's a doctor who is highly recommended..no matter how far I have
to travel... We've been trying to get pregnant for almost a year and a
half now with not even the slightest bit of hope. I'm just really
getting to the point where I find myself unable to control the tears
when people ask or talk about children. After getting married everyone
starts in with the "when are you going to have children" and a lot of
people especially at work dont know what I am going through so I cannot
expect then to understand the sadness and pain I am going through...
anyways I guess its time to seriously look into this huh?
At Mon, 27 Nov 2006, Alyson wrote:
>
>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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