Re: advise on a second Laparoscopy
From: Tara (anonymous@obgyn.net)
Mon Nov 27 13:49:55 2006
Thanks! Actually I was just searching and Dr Redwine's name did come up
quite a few times, as well as a doctor by the name of Reich, who is
right near me in PA. I want to do more research but apparently he also
does Excisions...
Im sorry to hear you had a recurrence. Do they know why? What will you
do now?
At Mon, 27 Nov 2006, anonymous@obgyn.net wrote:
>
>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.
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