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Endometriosis & Infertility

From: Kimberly (anonymous@obgyn.net)
Fri, 27 Nov 1998 10:15:41 -0600 (CST)


On 11/23/98 I underwent a laproscopy due to the fact that my spouse and I had been attempting to conceive for 17 months with no results. As a result of this laproscopy I was diagnosed with Endometriosis. My OB/GYN had two suggestions on how to proceed from here. They were 1) Take GnRH-Ags (Lupron) and instill a temporary menopause 2) Attempt IVF.

After some thought I called back the doctor and asked if there was a third option - just immediately begin attempting to getpregnant. My doctor revealed to me that I had fairly severe endometriosis that was mostly located on the outside of my Uterus and all over the stomache lining. During the procedure she was able to remove 75% of the endometria deposits. I was advised that this was certainly an option, though obviously not without risk (i.e.: a rapid return of Endo, without hormonal treatment). With that in mind I asked whether it would make sense to go all out, and attempt to use Clomid or the like to further my chances of conception. Her answer was "no". She said that since I am clearly ovulating every month, that fertility drugs would not be of any benefit to me.

My question is essentially should I really be trying to get pregnant naturally or am I wasting valuable time? Should I be focused on more radical treatments like IVF, IUI or agressive hormonal treatments? I am only 28, and recognize that time is still on my side, but if you add 6 to 9 months of hormonal therapy and recovery, I will be well on my way to 30. I just want to maximize my chances, and would really appreciate input on how other endometriosis patients have handled this very issue.

Thank you in advance for your thoughts!!!

--
Kimberly



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