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Re: ENDOMETRIOSIS: laparoscopy /biopsy for endometriosis

From: anonymous@obgyn.net
Sun, 16 Nov 2008 15:15:19 -0600 (CST)


Dear D,

You are right in expecting to have one surgery. If it is a conservative surgery - ie not removing uterus or tubes or ovaries, you should always look for a physician who can TAKE CARE of the problem. Some of us are trained to EXCISE endometriosis from all surfaces ( granted endometriosis is a disease that doesn't completely go away until definitive surgery is done). Some OB-gyns only look and burn the top of the endometriosis - which is very suboptimal. I am assuming you are having pain and symptoms consistent with endometriosis and probably bowel involvement as well. Do make sure your Dr can excise and remove as much as medically possible to provide relief - It is like debulking the disease and then putting you on birth control pills after the surgery to provide chemotherapy for the endometriosis until you are ready for a pregnancy.

At Sun, 16 Nov 2008, D wrote: >
>Friday I'm getting checked for endo, she suspects it's on my bowel. she
>wants to see what she can find take biopsies, I should have asked her
>but if it's on or near my bowel, Is it easily removed or does this mean
>I would lose a small section of my bowel. she does many surgeries but
>is this something an obgyn does or do they need to get a gastro doctor
>in if it's my bowel?
>
>She gets very serious when she talks with me about this, at first she
>said when she looks to remove endo, I'll be very sore, but now she
>thinks she'd like to look & take the biopies then give me a game plan. I
>was hoping to get it done at one time (especially since insurance
>deducatbles start over the first of the year.)
>
>How soon can doctors do a second surgery?
>
>thanks

--
Note: Opinions expressed here are for educational purposes
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       relationship.  This information is not intended to supplant
       the need for you to consult with your physician prior to
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 ** Private emails cannot be entertained due to time
       constraints; consequently, they will receive no response.
Neena Agarwala, MD



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