PREGNANCY-BIRTH Messages for January, 2002: Re: for doctors and women who turned out to have endo when ttc

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Re: for doctors and women who turned out to have endo when ttc

From: William McIntosh, MD (anonymous@obgyn.net)
Wed, 23 Jan 2002 15:11:35 -0600 (CST)

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Reply: anonymous: "Re: for doctors and women who turned out to have endo when ttc"

At Tue, 22 Jan 2002, anonymous wrote: >
>My history: TTC for 8 months following a loss, I have three children
>easily conceived. I saw RE who ruled out everything via hormones, blood
>tests, ulstrasound, semen analysis, etc. He said if we don't succeed in
>two more months, he'll do hsg to check and see if there is scarring from
>D&E in April, but said there is less than a 5% chance that scarring is a
>problem since my periods are normal. So I asked him about endometriosis
>since I am reading so much about it here, and he said abruptly "you
>don't have endo."
>
>My questions:
>I'm wondering if I should push for a laporascopy, or whether the risks
>associated with the lap are higher than the possibility for findings of
>endo without any other indications. I don't want to do unnecessary
>tests, but I don't want to wait months and months if it turned out I had
>it and didn't deal with it (since I"m 38)!
>
>I admit I have no symptoms of endo,(other than not being able to
>concieve in 8 months), but I hear about women who have no symptoms, so
>that doesn't help reassure me.
>
>So I'm also wondering if endo could develop quickly and late in life
>without having ever had it before due to prolonged cycling as we ttc.
>Before this 8 months, I've always either been on birth control,
>pregnant, or breastfeeding, and previous prengnacies were achieved in
>1-2 cycles, so I haven't had months of normal, uninterrupted cycles in
>over 15 years...
>
>Thanks for opinions, reassurance, etc.

While it is true that you should follow every lead, the chances of you having endometriosis are so small (not zero of course, but vanishingly small) that it would be very difficult to justify the risks of a surgical proceedure simply to confirm that you don't have something that we already are 99.9% sure you don't have. Use your time and your money on things that more likely.

-- William D. McIntosh, MD, FACOG

This is for educational purposes only, and is not a substitute for consultation and examination by a licensed medical professional.

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