WOMENS-HEALTH Messages for November, 2001: Re: Every year a laparoscopy?

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Re: Every year a laparoscopy?

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From: Robin (anonymous@obgyn.net)
Wed, 28 Nov 2001 14:07:56 -0600 (CST)

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At Wed, 28 Nov 2001, Giovanna wrote: >
>Dear doctor,
>
>Three years ago I discovered by accident that I had endometriosis. I've
>never had any of the common symptoms women usually have like pain,etc.
>Because of an endometrioma my doctor performed a laparoscopy and then
>discovered that I had severe endo level IV. Besides the endometrioma I
>had adhesions almost everywhere, both fallopian tubes were "lost" and
>she removed a small part of my left ovarian.
>After this I took Zoladex for seven months. Then another laparoscopy
>showed that the treatment had no results because endo had spread and
>there were more adhesions. All the endometriotic tissue and adhesions
>were once again removed and it's been a year I'm taking a pill called
>here in Brazil "Mercilon".
>Last week I had an ultrasound exam. It showed I have now a mioma but it
>couldn't show my right ovarian. Probably more adhesions as the doctor
>said.So, the third laparoscopy is coming in December.
> My question is:
>Do I have to do a laparoscopy once a year for the rest of my life to
>check the progress of my endo? It seems to get worse year after year
>although I'm taking pill and have no pain. I surely would like to have
>another child, so histerectomy is not in my plans for a while. And I'm
>aware that endo can recur even after histerectomy.
> I'm really getting crazy about this!
> Could you please give me any advice?
> :-(
>Have a nice week and thanks in advance for your attention,
>Giovanna.

Giovanna,

If all of the endo is excised (cut out, as opposed to ablation where they burn them), the recurrence rate is much lower. Ultrasound will NOT show adhesions. Ultrasound is good for finding ovarian cysts and fibroids, along with a few other things, but adhesions can not be detected on ultrasound.

As for the Ovary not being seen, this can happen quite often, and isn't necessarily cause for alarm.

You might want to see if there is an Endometriosis Specialist where you are, or see a Reproductive Endocrinologist for further evaluation.

Hope this helps. Robin

-- ~Robin~

List Owner, Chronic Pain Support Group http://groups.yahoo.com/group/ChronicPainSupportGroup

I'm not a Dr. or any type of Medical Professional. The information I share is based on what I have experienced personally or what I have learned.

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