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Re: Awaiting ovarian drilling

From: tera (anonymous@obgyn.net)
Tue, 5 Feb 2002 20:42:45 -0600 (CST)


Hi!

I am one of those women with a "bad" experience. I have had ovarian drilling - twice. I did not research the procedure properly.

Are ovaries supposed to be more responsive after ovarian drilling? Supposedly, yes. And some women have become pregnant after the drilling. Ovarian drilling is a gamble, though. This is why - Right after drilling you only have a short window of time to become pregnant. Why? Because anytime you "drill" or cut any tissue it creates scar tissue. This scar tissue will make it MUCH more difficult for you to continue to try to become pregnant after the "window has closed". So, there is a CHANCE that you will become pregnant but if you don't you will only be left with scar tissue and it will be much harder to try to conceive again while trying other methods. That is the gamble.

Not only is it more difficult to become pregnant because of the scarring but the scarring can cause other problems. Inside of your body scar tissue is sticky. This can cause your ovaries to stick to other parts of your body such as your bowels or your pelvic wall. This scarring happens to EVERYONE with the surgery. Some may not know it because they may not have pain or any other problems caused by the scar tissue such as having their ovaries sticking to things but IT IS there.

Listen, I am in about the same boat as you. It seems really tempting standing where you are and you may feel as if it is your only hope. I know. I had the drilling done also thinking it was my only hope. I had undergone rounds and rounds of Clomid and had not ovulated once! I then tried one round of artificial insemination using the injectable Fertinex. It took a few weeks of raising my dose so that I could make mature eggs. I made mature eggs at a REALLY high dose but I did do it! I did not get pregnant because of the insemination, though. My reproductive endo who performed the insem is supposed to be one of the best in my state. She almost flipped when I told her I had been "drilled." She thinks the reason my insem was unsuccessful could very well have been because of the scar tissue covering my ovaries. She doubts that an egg can even get out at all. She said that my next step because of the drilling would probably have to be IVF. That is a very expensive proposition!

If I could do it over I would not have taken the gamble. I was not told about the scarring and that it would be very difficult to conceive at all if I did not conceive during the "window" of time. My OBGYN who performed the surgery simply told me that it would "be best" if I conceived during the first three months but unfortunately I did not ask why. My excellent endo said that she NEVER recommends "drilling" under ANY circumstance and to me that says a lot since she makes a living trying to help women conceive.

My advice would be to continue on the injectables. There are MANY different kinds of powerful injectable meds. It sounds as if you have only tried one kind. I'd try other kinds and maybe you need a higher dose. Make sure you're getting checked often though in case of hyperstimulation. If you do not make mature enough eggs while taking extremely powerful injectables now you may not after the drilling either and you will be left with scarring. Sorry so long. I would not tell you NOT to get "drilled", though. This is a very personal decision. All I can do is to share my story in hopes of making sure that you know more about it than I did. Try typing "ovarian drilling" into the search on this forum to read what other women have said about it. Hope it works out. I know the heartbreaking pain. I'm with you heart to heart. Take care, dear. God bless, Tera. Feel free to e-mail jasonandtera@att.net

At Tue, 5 Feb 2002, anonymous wrote: >
>Hi,
>I have had irregular periods for as long as I can remember which over
>time have become absent (am now 29)
>Having stepped up the dosage of clomid to the maximum over 6 cycles
>(along with metformin) i still failed to ovulate. My ultrasound showed
>slight follicle development but nothing significant.
>I then tried one cycle of menogon (injectibles) which also failed to
>stimulate my ovaries. The ultrasound showed many follicles, all of
>which were <10mm.
>My mother had PCO and my doc has told me that I display several
>characteristics of it.
>I feel very dis-heartened as menogon is apparently a very powerful drug
>which succeeds to induce ovulation in about 80-90% of patients.
>My doctor has suggested laporoscopic ovarian drilling followed by a
>second cycle of injectibles as apparently the ovaries are more
>responsive to the drugs after drilling.
>Opinions on this procedure seem to differ, some with very good results
>and some with bad, including scarring, adhesions etc.
>Can anyone offer any advice please, as other than egg donation I feel
>that this is my only option.
>
>Thank you!
>Paula

--
Tera



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