ENDO Messages for July, 2008: Re: Laparoscopy versus 'watch and wait'

Re: Laparoscopy versus 'watch and wait'

From: kathryn (anonymous@obgyn.net)
Wed Jul 30 00:32:47 2008

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In reply to: anonymous: "Laparoscopy versus 'watch and wait'"

It is really important that you find a doc who is an expert who deals with endo all the time, and who knows what to look for in surgery.

That said, I have heard that if you want to get pregnant, your best bet is to have an excision surgery and try right after that surgery.

The type of pill you are taking might be causing the cysts to grow. Ask your doctor if you can try another type of pill or maybe just a progesterone treatment, or an iud. See if any of these methods help cut down on the cyst growth. If you are on a continuous pill, maybe you can switch to a 3 week pill where you actually have a pd.

You can also have an ultrasound every six months to track the cyst and see if it increases in size or not. Sometimes cysts do get "reabsorbed" into the body.

I can't say whether or not the cyst would cause damage to your ovary, but maybe trying a different hormonal treatment and tracking it will at least give you and your doctor some idea if it is getting bigger and maybe more likely to cause problems.

If you do decide to get a laporascopy, make sure it is with an endo expert or a doc well versed in endo. Also be aware that after a laporoscopy, you will be more likely to have adhesions, which can cause pain and also affect your organs (which can also affect fertility down the line). Kathryn

At Tue, 29 Jul 2008, anonymous wrote: >
>I am 28 years old. I have always had moderately painful periods, with
>backaches that were more or less treatable with ibuprofen. A year ago,
>I suddenly started to have excruciatingly painful periods. After two
>such periods, I saw a doctor, who said that endometriosis was a
>possibility. I had a sonogram and was told I had two ovarian cysts, one
>of about 1 cm and one of about 1.5 cm. I started taking birth control
>pills. At a follow-up sonogram shortly thereafter, I was told I had one
>ovarian cyst, of about 2.5 to 3 cm (apparently what they originally
>thought were two nearby cysts was really just one cyst, or the cyst
>"merged"). Six months have passed, during which time I've been taking
>the pill and have had no periods at all. The cyst has not been very
>painful, but sometimes I do feel a slightly painful twinge or sensation
>of weight. At a recent sonogram, I was told my cyst had grown to 4 cm.
>I am trying to weigh the pros and cons of (a) "watch and wait" and (b)
>laparoscopy at this point. My main concerns are that if I have the
>surgery now, I will incur the risks of surgery without accomplishing
>much, since I am on the pill anyway and not trying to get pregnant right
>now (will I just have to have more surgery if and when I want to get
>pregnant?) . . . but if I don't have the surgery now, the cyst could
>keep growing and damage my ovary, and there could be internal scarring
>that they can't see without surgery. Thoughts?

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In reply to: anonymous: "Laparoscopy versus 'watch and wait'"

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