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Re: To Drill or Not to Drill?From: tera (anonymous@obgyn.net)Sat, 23 Feb 2002 19:43:27 -0600 (CST)
Hi! I have had the drilling -- twice. I do not recommend it. It is essentially supposed to do the same thing that "the wedge does", the results can be extremely temporary and it WILL cause scar tissue and it can also cause your ovaries to stick to your bowels, etc. just like "the wedge" (it happened to me). The only time I would even have anyone consider it (and maybe not even then) is if they were trying for pregancy only if EVERY other option for pregnancy had failed --including possible IVF. I would not do it for any other reason. I have researched both "the wedge" and drilling. Like I said, they are essentially performed for the same reasons but "the wedge" is considered to be far more invasive. This surgery is now considered old fashioned by cutting edge reproductive endos -- especially "the wedge". My endo said that she would NEVER recommend it under ANY circumstances including TTC. She said that there are many other ways to accomplish that. She does not recommend cutting anywhere near our reproductive organs unless there is real pain or an emergency. I've talked to my doctor about going in and cutting out most of the scar tissue but if you cut tissue what happens? It SCARS. Cutting out scar tissue will leave scar tissue. I can see them going in to remove your ovaries from your bowel or from other places (I've had to have that done) if they're sticking there or if you are in real pain but NOT to do any more cutting than that unless it is absolutely necessary. The "window" of time to see results from drilling or from "the wedge" is very short. It can be as long as three months. That's why if you are TTC they tell you to try to become pregnant within the first three months. After the "window" closes scar tissue forms and it's back to business as usual. I got a regular period for almost a year after my first drilling (which is considered to be an excellent outcome) but wasn't really regulated much at all after my second drilling. My drillings did nothing for any of my other PCOS symptoms (weight, hair, etc.). My PCOS instead has continued to progress. I would definately not do the surgery if I was in your shoes. Given the fact that your ovaries have already had "the wedge" I would not damage them further. You would be removing scar tissue to replace it with more scar tissue for the possibility that you could have regular periods for MAYBE a few months. It will not permanently regulate you by any means and I have not heard of anyone who has had relief from PCOS symptoms because of the surgery (weight loss, help with hair, etc.). My cousin had "the wedge" and I had drilling and even though "the wedge" is supposed to be more invasive than drilling I supposedly have more scar tissue that she does! Plus, if you eventually want to try to become pregnant the scarring from drilling and the potential damage to your ovary will make it MUCH more difficult for you to become pregnant. I did the surgery to try to become pregnant without doing much research on it. If I could do it over I never would have had it done. There are many other ways to become pregnant than to use drilling. Like I said before, "the wedge" is supposed to be a more invasive surgery than drilling and if you did not regulate after having "the wedge" performed I doubt that you would regulate after drilling. You do not have an easy decision to make. Sorry so long. I just wanted to share my experience. God bless! Tera
At Sat, 23 Feb 2002, a.l. wrote:
>
-- Tera
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