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Re: pregnancy and endo

From: Ann (anonymous@obgyn.net)
Tue, 7 Mar 2000 09:37:13 -0600 (CST)

At Mon, 6 Mar 2000, Harvey S. Marchbein, M.D. wrote: >
>At Mon, 6 Mar 2000, Ann wrote:
>>
>>I am 24 years old, and was diagnosed in early January with
>>endometriosis. My doctor says she "thinks" that I have endo becuase of
>>my symptoms which include occasional painful intercourse, painful
>>periods and the sonogram which reveals nodules on the outside of my
>>uterus and inflammed right ovary.
>
>Then you haven't been diagnosed yet. It's presumed but not proven.
>
>>I was wondering if I should go ahead
>>and insist on a Laproscopy to confirm if it is endo?
>
>Two acceptable methods to handle this. #1 Do alaproscopy for diagnosis
>and therapy if possible. #2 Go on Lupron for 3 months and see if
>symptoms abate, considering the possible side effects of Lupron are
>those of menopause in many women. This second choice may avoid surgery
>but has side effects as mentioned.
>
>>Since, we have
>>found out this devastating news, my husband and I have been trying to
>>get pregnant. I have always been on a 28 day cycle, (I started my
>>period on Feb. 2) but currently my period is 6 days late and I have had
>>mild cramping for four days straight. I have never had an irregular
>>period and this would be a first. Also, during the second day of
>>cramping I had one pale pink drop in my painties, but no sign of
>>menstrual blood. I took a pregnancy test on Saturday and Sunday, but
>>both tests came out negative. Am I jumping the gun in thinking that I
>>am pregnant or do you think that the endo is causing an irregular cycle?
>
>Endo doesn't cause irregular cycles. Hormone irregularites and stress
>do.
>
>Good luck.
>
>--
>Harvey S. Marchbein, M.D. FACOG, FACS
>Great Neck, New York
>

I really do not want to go on Lupron, I am not considering it an option. What I had planned on doing if indeed this was endo was to try and have children (I want 4) and then have a total hysterectomy. I do not see why I should have to suffer and make my family suffer if I have had all the children that I want to have. My husband, who is a second year medical student, does not want me to have a laproscopy and/or surgery. He says that it is not a good choice to permiate that cavity with surgery. But my right ovary is causing me lots of pain (it feels as though someone is stabbing me). My Gyno wants me to try for 6 months to get pregnant. But the pain is so intense I do not know if I can bear it. Is it okay to take fertility drugs to speed the process up? Wouldn't being pregnant subdue the endo and possibly ovarian cysts?

>**Note: Opinions expressed here are for educational purposes only
>and, as such, do not constitute a physician-patient relationship.
>This information is not intended to supplant the need for you to
>consult with your physician prior to choosing therapeutic options
>and/or interventions.
>
>**Private emails cannot be entertained due to time constraints,
>consequently no private emails will receive a response.
>
>**Thank you for your understanding ;-)
>

--
Ann Bruker



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