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Should I be checked for Endometriosis

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Should I be checked for Endometriosis

Postby Jenlynne » Wed Jan 23, 2008 2:58 pm

I need some help making a decision... My husband and I had went through IVF almost two years ago and it was unsucessful. The doctor says it is unexplained... Well, my delima is this. I asked the doctor if there was a chance I could have endometrosis (he never checked me for this ever). He said that he is 90 % sure that I do not have this. But, doesnt laparoscopy surgery also might give him a look more into my cervix and ovaires?.. The doctor said that he will do the surgery if that is what I want to do before going on another IVF cycle. So my question is this.. Do I have the surger? And has everyone else's doctor automaticly perform this surgery before they started IVF.[/b]
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Postby kbat » Sat Jan 26, 2008 3:22 am

I had a test to see if my tubes were blocked or not right in the beginning of starting this journey. I was told that my left tube was blocked. I didn't have anything done since it was never suggested that I have anything done. I had 3 failed IUI's. Then we decided to take a break. When we went back, I was told that I would automatically get 6 chances at IVF (that is to say that my insurance would cover up to 6 tries). At that point it was recommended to me that I try one IVF and if it didn't work, then to have a lap. surgery to see what the problem was--after all I would still have 5 more shots. Well, it came back that at the time they only approved 3 cycles at a time (since then, it's gone down to approving one at a time). Since at the time, we knew that we would get 3 shots at this and there were no guarantees that the insurance would approve more than that, we decided to do the lap. before doing any IVF cycles. It was discovered that I had endo & they removed the left tube to give me a better chance--something about fluid could go back into the uterus. So, I had the lap. surgery before starting any of the IVF cycles. So far I've had 5 done--3 of which I actually had e/t. 4 of them didn't work out at all for various reasons and the last one ended b/c it was an etopic pregnancy. Hoping to do one final cycle if our insurance stays the same and approves it. Don't really know if having the surgery helped me or not since I haven't had any luck up to this point/

Good luck to you.
ME--42 DH 41
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Postby Jenlynne » Sat Jan 26, 2008 3:53 am

Thank you for the insight. Our insurance doesnt cover any fertility work. Blah.... My doctor did do a Die test on me which they shot die to make sure that my tubes were not blocked. That result came back ok. We are thinking that my surgery date to be tested for Endo. will be the 6th. I will let you know what it says.. I just want some answers to why we are unable to get PG. For some reason I can not comprehend "unexplained".
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Postby tryw8 » Sun Jan 27, 2008 3:53 pm

Jenlynne:

Here's what I went through: I started to see my OB/GYN fertility doctor in March '06. I was referred by him through my of my friends/patients that also had problems conceiving. I also just changed employers because I couldn't handle the stress of driving in 1 1/2+ hrs of traffic for my daily commute. That was a part of it. My employer was giving me more grief and duties than I could handle. The pay didn't reflect it either. So I left.

I was put on Clomid for 6 months and to go at trying to make baby. When that didn't work, we tried IUI x 3. That didn't work either. I had to take off from work two times in a week and the HCG shots weren't cheap too. Ins. didn't cover that part. That failed.

Then my doctor tells me to get scheduled and prep for out-patient surgery. What! I had a hysteroscopy/laparoscopy done January '07. Hey, wait a minute ... I really thought this would have been done first. I remember barely waking out of anesthesia in post-op and my doctor came to check on me. I heard the words "endometriosis of the lining and a blocked tube" before I drifted off to sleep again. I remember being quite angry that this wasn't done first. I wouldn't have wasted time and money earlier. I guess that he had a protocol to follow.

I went to see my doctor for a post-procedure visit, that's when he referred me to the IVF he is also a part of. He has his own OB/GYN practice and is part of a team of 5 doctors specializing in IVF. There, I started my journey with IVF clinic.

If only I had the surgery first, perhaps things would have turned out different ... or earlier. Keep us posted.
Failed IUI
hysteroscopy/laparoscopy 1/07 (blocked tube,endo)
IVF 5/07 BFN
FET 11/07, BFP 12/07
07/31/2008 (508am) --> our son was born!

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Should I be checked for Endometriosis

Postby D.grora » Tue Oct 27, 2009 12:30 am

now theres a good idea meg. Wouldnt that be nice to take the whole I have/had cancer and you didnt right out of the picture?
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Re: Should I be checked for Endometriosis

Postby abdulsaburch » Sat Sep 10, 2011 1:53 pm

METHODS OF DIAGNOSIS


There are a variety of methods that can be used to assess whether a woman has Endometriosis, but the only reliable way to confirm the presence of the disease is by visually inspecting the abdominal organs by a procedure called a laparoscopy. Before a laparoscopy is done a full gynaecological evaluation should be done covering the patient’s medical history.


Diagnosis methods of Endometriosis can include:


Physical examination
A pelvic examination involves the physician feeling and looking for abnormalities that are associated with endometriosis. Physical findings depend on the severity and location of the disease. There may be palpable nodules or tenderness in the pelvic region, enlarged ovaries, a tipped-back (retro-displaced) uterus, or lesions on the vagina or on surgical scars.

Laparoscopy

A laparoscopy is an exploratory procedure that allows the physician to see inside the pelvic region to observe and check for endometrial growths. The procedure involves making a small incision near the navel and inserting a laparoscope (a long, thin, lighted instrument) into the abdomen. The abdomen is distended with carbon dioxide gas to make it easier to see the abdominal organs. Usually, the endometrial growths can easily be seen. Because Endometriosis implants or growths vary in appearance and can be mistaken for other conditions, the lesions should be surgically removed and examined under a microscope to confirm the presence of the disease.

Imaging tests

Imaging tests (e.g. pelvic ultrasound, magnetic resonance imaging) may be used to identify individual endometrial lesions, but they are not used to determine the extent of the disease. The implants are not easily identified using this method.
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