Re: to Summer and Ally....Re: IUI and endometriosis
From: Ally (anonymous@obgyn.net)
Thu Jul 3 08:30:00 2008
Wen,
Good luck with whatever you decide. It sounds like your tubes are
probably open (due to the fact you were pg in Jan.). I would say too
that it's a good sign that you did get pregnant. Maybe the IUI is all
you need.
I understand about the FSH issue. The problem is, if you can't have
someone that's a skilled excision doc do the surgery, you can do more
harm to the ovaries than it's worth. So, if your doc isn't comfortable
with it, for whatever reason, I definitely would not have him do a lap.
Here's a thought, what if one of your tubes is open, but the other is
closed? Ask your doc about that. I was told by my RE that some clinics
will not even do IVF if there's a blocked tube. Something about the
fluid leaking down into the womb from the tube. That whole toxic
environment thing. I had one that was blocked and it was removed during
my surgery. It had already been unblocked once and I was told that it
would just close right back up again if they didn't take it out. My RE
said that 1 good tube was better than 1 good tube and 1 bad tube.
Hope I've given you some food for thought. Babydust :)
--
Ally
At Wed, 2 Jul 2008, Wen wrote:
>
>Thank you so much for your replies. And best of luck to both of you!
>You have both given me things to think about. For some background... I
>have had three laproscopies, with the last being in April 2007 and my
>tubes were checked at that time, although I do realize things could
>change. With each one the doctors found things adhered to each other. I
>also got pregnant on our own and had a miscarriage in January at about 5
>weeks. I guess the doctors were optimistic that since I got pregnant
>once I can do it again (as they kept telling me), so until last month we
>did nothing but natural. This past cycle, I did injections,
>progesterone cream, and natural and was monitored the whole time. All
>blood levels and ultrasounds looked good the entire time, so something
>went wrong at the end. So, IUI along with the injectibles and
>progesterone is where I am now at.
>
>We talked about doing another lap. but my FSH is borderline and the doc
>is concerned that the more we go in the more we are hurting the eggs. So
>another lap, in his opinion, would be a last resort. I had never before
>heard anything about the "toxic environment" this creates in the womb.
>That's scarey!
>
>Thanks again!
>
>At Wed, 2 Jul 2008, summer wrote:
>>
>>Yes! And as I just posted, my tubes were adhered to my ovaries, and my
>>uterus was adhered to my colon! Not married or trying to get pregnant,
>>but there can be so much going on in that area! Toxic indeed...pain
>>relief is good! But imagine getting pregnant, and having all those
>>things pulling on each other as the baby grows...
>>
>>a lot of women have things bound up together!
>>
>>At Wed, 2 Jul 2008, Ally wrote:
>>>
>>>I just saw Summer's post too. I should add that my RE recommended
>>>excision surgery before fertility treatments. He said that just the
>>>presence of endo can create a "toxic" like environment in the womb. I
>>>was hesistant for the surgery, but just the pain relief that it has
>>>given me was well worth it.
>>>
>>>At Wed, 2 Jul 2008, Ally wrote:
>>>>
>>>>Hi Wen,
>>>>
>>>>I just saw my RE yesterday, who is also an endo specialist. We are
>>>>doing Clomid/IUI this cycle for the first time. He said we have a 15%
>>>>chance per cycle with it. Unfortunately, we are not in a mandated
>>>>state, so we would have to pay for IVF out of pocket. Take that, along
>>>>with the invasiveness of the procedure, and we are not ready for
>>>>it...yet.
>>>>
>>>>Just a little history on me: Stage IV endo, 1 tube removed. Last
>>>>surgery was in Dec. RE had us trying on our own for the first 5 cycles.
>>>>So, at least for us, the RE thought there was a possibility that we
>>>>could even do it on our own.
>>>>
>>>>IMO, IUI is definitely worth a try. I don't think you're wasting time
>>>>unless your tubes aren't open. Did you have an HSG? I understand your
>>>>frustration with wasting cycles. Who knows, maybe you'll get an IUI
>>>>baby and then be thankful that you didn't have to go through IVF! Best
>>>>of luck and babydust :)
>>>>
>>>>--
>>>>Ally
>>>>
>>>>At Wed, 2 Jul 2008, Wen wrote:
>>>>>
>>>>>Hi-
>>>>>
>>>>>It is finally time to move on to IUI. Has anyone had any experience
>>>>>with it? My doctor is great, one of the best infertility docs in the
>>>>>country, and he's basically told us that IUI is waste for women with
>>>>>endo. because in women with endo they don't just need to bypass the
>>>>>mucus, they need to bypass everything. Unfortunately due to insurance I
>>>>>have to go through 2 or 3 cycles of IUI before we can move on to IVF. I
>>>>>realize that I am VERY fortunate I live in a state that mandates
>>>>>infertility coverage, but it is so frustrating to know I am probably
>>>>>wasting the next few months when I feel I've wasted so many already. If
>>>>>anyone has any advice, experience with this, etc. please respond. I am
>>>>>very down right now and could use support. Thanks for letting me vent!
>>>>
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