ENDO Messages for October, 2007: Re: Another surgery?

Re: Another surgery?

From: Eric Daiter, MD (anonymous@obgyn.net)
Tue Oct 30 19:30:31 2007

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Previous message: Mary: "anyone have excision surgery with Dr. Iris Orbuch in NYC?"
In reply to: Ally: "Another surgery?"
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Draining endometriomas rarely results in significant longterm improvement since the cysts generally return within a very short period of time. The entire cyst wall needs to be removed to effectively accomplish longer term benefits. So I do agree with the 2nd opinion that you should excise (or remove) the cyst walls and any visible implants of endometriosis. In my experience the best tool to perform this excision is the CO2 ultrapulse laser, but others have used a variety of tools with good results.

Good Luck!!

At Sun, 28 Oct 2007, Ally wrote: >
>I just had a diagnostic lap on Sept. 5th. The Dr. drained
>endometriomas from my ovaries and attempted to fix one of my tubes. He
>said it should be good enough to get pregnant and my RE recommended
>Clomid/IUI to help conceive.
>We then got a second opinion from a well-known endo specialist. He saw
>on u/s that I have cysts again (1 is 4x3 cm) just 7 weeks post-op along
>with endo on my bowel and vagina. He recommends complete excision
>surgery before fertility drugs. He indicated that the presence of any
>endo will make conception difficult. My concern is the effects (such as
>adhesions) that another surgery might have on my ability to conceive in
>the first place. I feel like a rock in a hard place. Any thoughts?

--
http://www.infertilitytutorials.com

Next message: anonymous: "Re: BACTERIAL VAGINOSIS??? TO: LEAH"
Previous message: Mary: "anyone have excision surgery with Dr. Iris Orbuch in NYC?"
In reply to: Ally: "Another surgery?"
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