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Re: to Wen...Re: IUI and endometriosis
From: Ally (anonymous@obgyn.net)
Thu Jul 3 10:24:03 2008
I was told the only way to tell of a blocked tube is through an HSG.
They can't see a hydrosalpinx on u/s. I had the HSG done last August.
You're right; it is not pleasant. The pain only last for 15 sec. or
less though, so don't let that deter you from it. I was also told that
I had pain because my tube was blocked. Maybe yours are not blocked,
you will have no pain, and it will give you reassurance that all is good
in that area.
At Thu, 3 Jul 2008, Wen wrote:
>
>Thanks so much. Yes, you have given me some food for thought. Is the
>only way to find out about the tubes by the HSG test? I know this month
>when I was monitored they said everything looked good and I believe they
>said it had gone through the tube, but I could be wrong. Do you know
>anyway to tell this for sure? The doctor was willing to check the tubes
>again if I wanted, and I keep thinking maybe I should. I heard that it
>is a really unpleasant procedure, though. The last time I had it I was
>already out for my lap.
>
>I've actually had 2 RE's tell me that surgery would be a last resort due
>to the affect on the eggs. Neither of them are experts in endo though,
>but do treat endo a lot and the one did my last surgery and has some
>kind of special skill with laproscopy.
>
>This is all so confusing and stressful! Thanks so much for your support
>and advice.
>
>Good luck to you too!
>
>At Thu, 3 Jul 2008, Ally wrote:
>>
>>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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