WOMENS-HEALTH Messages for July, 1998: Re: 2ND Request: Stage III Endometriosis and Fertility

Re: 2ND Request: Stage III Endometriosis and Fertility

From: D. Ashley Hill, M.D. (anonymous@obgyn.net)
Sat, 4 Jul 1998 09:46:28 -0500 (CDT)

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In reply to: Robin: "2ND Request: Stage III Endometriosis and Fertility"

At Fri, 3 Jul 1998, Robin wrote: >
>Dear Doctor,
>
>I just had my second Laparoscopy in four months. He said that I had such a "healthy
>score" (32 on the AFS scale), that in his opinion, I am an early Stage
>IV. My endo was on both ovaries, both side walls, both ureters,
>cul-de-sac, bladder, sigmoid colon, and uterosacral ligaments, which had
>to be removed due to the endo. I had an endometrioma on my left ovary.
>
>My question to you is what are my chances of having a child with this
>stage, and the areas of which endo was found?

I did not see your first request, but I suspect the reason why nobody has attempted to answer this very valid question is that it's impossible to say without having either done the laparoscopy, or at least viewed the pictures/video. Regardless, endometriosis is such a bizarre disease that infertility does not always correlate with the extent of disease. If your tubes are functioning (ie if they spilled dye during the procedure) then you have a good chance of conceiving and intrauterine pregnancy. If they were blocked, then the chance of spontaneous conception drops dramatically.

So, please make an appointment to sit down with the doctor who did the laparoscopy, to ask him or her about your fertility chances, and the status of your tubes. Please know that a lot of women with bad endometriosis have babies!

-- Ashley Hill David Ashley Hill, M.D. Associate Director Department of Obstetrics and Gynecology Florida Hospital Family Practice Residency Orlando, FL http://home.mpinet.net/dahmd

The above is intended for general medical education, and is not for specific medical advice. I apologize, but I am unable to answer personal e-mail due to time constraints.

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In reply to: Robin: "2ND Request: Stage III Endometriosis and Fertility"

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