|
Re: advise on a second Laparoscopy
From: anonymous@obgyn.net
Mon Nov 27 13:32:12 2006
Tara, you may want to check out the previous posts regarding the Centre
for Endo Care in Atlanta (Dr Albee and Dr Sinervo), as well as those
about Dr. Redwine in Bend, Oregon. I'm an American living in Australia
and have just gone through my 2nd lap for excision. My first surgeon
did the lap to diagnois and excise at the same time. Unfortunately I
have had a recurrence (within the year). The new surgeon (only because
I moved States) even commented on Dr. Redwine as the foremost expert in
the field that boasts (and rightly so) a low recurrence rate within five
years. Do a search on his name and you'll see various references to
check out. It's unfortunate that you're having problems again, but not
surprising since you said your first dr. only removed a small amount.
Any amount left in is bound to cause problems again. Sounds like you're
on the right track though and definitely search out the best. The two
places mentioned above are also very much about trying to conserve
fertility.
Good luck to you!
At Mon, 27 Nov 2006, Tara wrote:
>
>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.
|
|
![[ endo@obgyn.net ]](../../images/endo_at_obgyn.gif)