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Laparoscopic procedures to diagnose and treat Endometriosis?


Hi ladies,
i had my first appointment with Gynaecologist.we told her our history(we are ttc for about a year) and she made few notes.She did Ultrasound.After that she told me to do laposcopic surgery.
i am very worried about it i don't know what to do should i look for different doc's opinion.Have you ever done this?Or do you know anything about Histeroscopy or Lapoaroscopy?And if it is painful? I have regular periods.Thanks in advance.

Hi love, i have also had this procedure, its known as a Lap and Dye, the lap part is the camera inserted through a small cut in your tummy button, and the dye part is injected via your cervix to check if your tubes are clear (some times fibroids and endometriosis an cause blockages to the fallopian tubes).

I was found to have endo and they cauterised as much as possible during the lap, i woke up with two small wounds, (if they find endo your second or third if needed- wound will be at the site where the treat/remove it) my second one was just on the top of my pubic bone. You also feel a but sore inside form the HSG (dye part), on the whole its not too bad, but i was really nauseaus and vomited after, as the anaesthetic didnt agree with me, wou need a week off min as far as im concerned as you feel sore and woozy, for a few days and dont get back to yourself until after about 5 days (tho im sure some bounce back quicker)

Its day surgery and as long as you have someone to pick you up and take care of you / spoil you you will be fine (dont forget to get really loose pair of trousers/pyjamas to wear home - avoid tight elasticated waist bands ouch!)

take care sweet i know its scary -but remember its the first step to answer snad teatment that will set you on the road to having your longed for baby!

xxxx

hey,

Im currently on the waiting list to have the same tests done, so recently posted questions asking the same thing, but got hardly any replies LOL

All I can say, is that I have had to fight with my doctor, and change doctors three times before they would listen to me and send a referrral for me to see a specialists, so Im not sure what to expect but I can tell you that if you do have Endometriosis it can usually be treated very easily and once treated your TTC chances go up. I can also advise you to stay with your current Gynaecologist - not many will take Endometriosis seriously and it can be very hard to push for further tests to be taken.

Ive copied a link here for you to have a look at a website which answered alot of questions I had about it.

Best wishes to you! x0x0

You shouldnt have to have surgery to detect enodmetriosis, you should be able to see that on an ultrasound... you'll see little pieces of your endometrium or uterus connecting with other tissue. You generally have really horrible periods that can last way longer than usual with endometriosis too.

I would definitely advise a 2nd opinion. There are WAY more factors such as hormones, PCOS, sperm count, annovulation (lack of ovulation, even if you bleed you might not be ovulating) that could be the cause of why you arent getting pregnant.

Or, it could be nothing and it might just take longer. While you should conceive within a year of trying, some times it takes 13 months or so.

But yeah, if you have questions, ask them and if you dont get the information you seek, get a 2nd opinion. Id definitely get my questions asked as to why you need surgery before proceeding with other tests before I went under the knife or laser. Good luck!

hey hun. I have endometriosis. The only way to get a good look at it is through laporascopy. I am not going to lie to you it does hurt a little bit after. Your very tender in your lower abdomen. But its all worth it to get pregnant! I would just do it because they will be able to determine if you have it or not and you will be able to follow the proper steps to get pregnant! GOOD LUCK HUN!!! If u have ne questions email me!


EDIT: the poster below stated that you can dx *diagnose* endometriosis via ultrasound and that is not true at all. I had a bagillion ultrasounds and they couldnt find nething. Had the lap done I have endo everywhere! On my round ligaments bladder everywhere! So trust me its worth it to kno! I hope you don't have it tho! Endo hurts so bad!

Hi!

First off, I have to say that you can have endometriosis and have little or no symptoms. I was trying to get pregnant for 3 years when finally I had what is called a heterotopic pregnancy (when you have an ectopic and uterine pregnancy at the same time). My ectopic was unfortuntely discvered late and I had to have surgery via vertical c-section like cut.
While my OBGYN was doing mysurgery, she discovered I had endometriosis. She saw it with her own eyes, but it was not confirmed through pathology after surgery. So I stupidly did nothing about it. I didn't know enough about it at the time, but yes, laparoscopy IS the only way that endo can be identified and diagnosed with accuracy.
Whe I told my new OBGYN about my experience, she was convinced that I have endo, and gave me options. She said we could do the lap so she could for sure identify it, I could take birth control for 3-6 months(to slow the growth and shrink it) before trying to conceive again, and she also will do what is called a hysterosalpingogram (HSG) wich is a type of x ray using a balloon and dye to make sure my fallopian tube is open. I myself decided to take the birth control approach. But I am convinced bc of my history that I do have it.
Anyway, sorry so long, but I would like to tell you that I also have always had regular periods. The only symptoms I have ever had are troubles conceiving, pain down the front of my leg, and lower back pain.
I would first suggest that you do get a second opinion before deciding what you would like to do.
I hope this helps!

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