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Re: endometrosis and infertility
From: Alyson (anonymous@obgyn.net)
Fri Jan 12 13:16:22 2007
Susanna,
I'll just say this. My doctor told me prior to my last surgery that the
best time to try to conceive is within 4-6 months following laser
removal of endometriosis. If you have a skilled surgeon that can excise
the endometriosis it will be more effective than the surgery you had
with the previous doctor. Also, it is often thought that doctors using
electro-cautery are less skilled in endometriosis treatment (otherwise
they would be using a better surgical method). So perhaps you should
follow the new doctor's advice since it sounds like maybe the first
isn't as experienced with endometriosis. Lasers are more effective than
cautery, but excision using either a laser or scalpel is the most
effective method of removal.
Good luck,
Alyson
At Fri, 12 Jan 2007, susanna wrote:
>
>Hi Alyson:
>
>Thanks so much for the advices, and I already realized that I should do
>more research on the endometrosis.
>
>when I saw the new doctor, he did an ultrasound, and found out that the
>endometrosis already comes back, he suggest to do a laser operation, and
>then try one more IUI or go direct to do IVF. but my confusion is sould
>I follow the previous doctor to do two more IUI without the treatment of
>endo.
>
>all the best
>
>--
>Susanna
>
>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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