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Re: endometrosis and infertility
From: Alyson (anonymous@obgyn.net)
Fri Jan 12 08:10:42 2007
Susanna,
You first doctor may have been considering the endometriosis affect
purely from a structural poit of view. If you did not have it on your
ovaries or tubes she may consider that it is not physically blocking
your conception or pregnancy. There is some evidence that the presence
of endometriosis creates an unfavorable biochemical environment that
affects your ability to conceive and maintain a pregnancy.
Unfortunately cautery is not the most effective way to remove
endometriosis. It essentially burns the top of the implant off and can
leave the "root" behind to regrow. Has this new doctor made any
suggestions of how he thinks you should treat the endometriosis?
I would just do some research if he suggests any drugs, and if he
suggests surgery again make sure to discuss with him what method of
removal he uses and how experienced he is with that.
There is an excellent book Endometriosis: A key to Healing and Fertility
through Nutrition (you can get it on Amazon and through the
Endometriosis Association). It discusses dietary changes you can make
to help create a better biochemical environment and hopefully assist
conception.
Alyson
At Thu, 11 Jan 2007, susanna wrote:
>
>Hello everyone:
>
>I am new on this forum, I am a 35 years old marrid female with
>infertility issue but dream to start a family.
>
>It is such a painful history. I have been tried to be conceived for
>about 4 years, no success. in Nov 2005, after all the checking,
>everything sees normal, in Nov 2005, after two years without luck, the
>doctor did a laparoscopic, I was told that they found "Endometriosis
>involving the uterosacral ligaments bilaterally and in the cul-de-sac,
>as well as along the right pelvic side wall" (sorry, I copy the whole
>sentence from my operation report), the doctor said the endometriosis is
>mild, the areas of endometriosis were cauterized , she doesn't consider
>it has anything to do with my infertility. By July 2006 after 6 months
>of the operation, I did one more IUI, unfortunately ending with
>miscarriage ( or Entopic Pregnancy?) as I went back to the clinic too
>late, doctor can't identified weather I have a proper pregnancy. (I
>wasn't known I was pregnant until two weeks of bleeding)..... She
>suggested me to take a break and try two more of the IUI and then go for
>IVF.
>
>I used to feel a bit pain in the first day of my period, but after the
>operation, I don’t feel much pain, I have a very strict 28 days each
>circle instead of 28-31 days per circle before.
>
>I went to see a different specialist yesterday, after reviewing my
>history, he strongly suggested the endometriosis is the reason for my
>infertility, and it was a major reason for my miscarriage ( or Entopic
>Pregnancy ?) in 2006. I should go for an IVF considering IVF can bypass
>the endometriosis and my age can't afford more waiting. When I asked
>the possibility of IUI, he told me that he would not refer me to do IUI
>before I get treat for the endometriosis, which means I have to wait for
>another 4 months for the treatment of endometriosis if I choice the
>IUI,....
>
>I felt so confuse, two specialists gave me different opinions, does
>anybody has the same experience?
>I always think with today technology, there were so many medical
>miracles, but why it is so difficult for me to be a mother.....
>
>Thanks for the reading, appreciate your help.
>
>Best
>
>--
>Susanna
>
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