Doctor insights on:
Increasing Fertility After Iud Removal
Almost immediate: I would wait until your first normal period. It can take up to 6 months. But, just because you arent menstruating, does not mean you arent ovulating. ...Read more
Trying to conceive after fibroid removal and course of Zoladex (goserelin) implant - heavy and painful periods still, 4 months after treatment?
Normal will return: Hello, As you know Zoladex (goserelin) suppresses the hormones that the ovary produces. Now that the course of suppression is over, the ovaries will begin to cycle. The brain/ovary/uterus system is very complex and it could take a little time for you to cycle perfectly. Also consider that you have had pelvic surgery which represents a stress to all systems especially the reproductive system. ...Read moreSee 1 more doctor answer
Hysteroscopic resection of fibroids removal for pregnancy. Does it improve fertility after removal of small or large uterine fiborids? in all women.
Depends on location: if the fibroids is significantly distorting the endometrial cavity, it will be of benefit (assuming all other factors are normal). Fibroids outside of the endometrial cavity or that are pedunculated, may not reduce your chances of getting pregnant and may not be neccessary to remove them. Speak to your GYN who can discuss this further with you . Best wishes ...Read more
Well yes, but...: If the ovaries are removed, then you'll no longer be producing much female sex hormone at all, and you'd then essentially enter menopause unless hormones are replaced in pill form. Daily hormone replacement pills keep levels very stable which would generally end the sorts of symptoms you get from abnormal hormone fluctuation in PCOS. Though it's far too aggressive of a treatment just for PCOS. ...Read more
How painful is mirena (levonorgestrel) coil removal? When will my periods return after having mirena (levonorgestrel) removed?
See below:: If the doctor can see the IUD string on exam, its usually not at all painful to have it removed. If the string is not visible, there is a little more discomfort because the doctor will have to reach up inside the uterus to grab the IUD or the strong. Most women start having their period within 4 weeks of having the IUD removed. Frequently there is a heavy period quite soon after removal. ...Read more
Lower abdominal pain every day. Is there possibility to get ovarian cysts 3 mts after lap surgery for removing endometrioma? Taking pills, too.
Let your dr know : It may be time to see your ob/gyn doctor sooner than later for further evaluation of this. S/he can do an examination, and possible ultrasound to let you know what is really causing the problem. You don't want to really be guessing on this, as it may or may not be related to your previous procedure. In any case, it needs to be documented in your records. So that proper follow-up can occur. ...Read more
After thinning the lining of your uterus, ovarian drilling and polyp removal does that increase fertility and ovulation?
How to increase chance of success with IVF with endometriosis? Laproscopic surgery was unsuccessful at removing endo. Advised not to take lupron (leuprolide) now.
IUD: If you did not have an infection while the iud was in, it's not likely that it will cause many complications. Although the efficacy of some iud's may be lower after a period of time, the primary risk is pregnancy. If the string is still visible and the iud can be removed, there is little risk of complications. ...Read more
PCOS, Endometriosis, Heavy Cycles, 33yo, tubal ligation 3 yrs ago. Would an endometrial ablation lessen my symptoms/cancer risks?
Maybe not: Endometrial cancer can be obscured by endometrial ablations if it is not ruled out prior to the procedure by biopsy. Many women continue to have bleeding post endometrial ablation procedures, and the most likely conclusive treatment is hysterectomy if you no longer desire children. ...Read more
How IUI increases the changes of conceiving .I removed the utrine fibriod two months back.My re has done IUI this month?
Very possible: Removing endometriomas can decrease the ovarian reserve and lower amh. The surgery can remove more ovarian tissue containing eggs than intended. We are much more cautious about surgery today. Best wishes. ...Read more
Trying to conceive for 2 months after coil removal and surgical abortion 8 months prior. Could I be infertile as a result of abortion and coil insert?
Patience: Many things are possible in life, but 2 months is too short of a time to think about infertility. If there is a good reason to suspect fertility problems, one should start asking one's Ob-Gyn doctor after 6 months of regular sex between a happy, relaxed wife and her happy, relaxed husband. If there is no reason to suspect infertility at all, then one can give it 9-12 months before worrying. ...Read more
Not recommended: No, because it has no other chemicals like copper, hormones, etc, it will not really work to prevent fertilization. More worrisome, if fertilization and implantation occurs, the risk of an ectopic pregnancy is high. And, if a normal uterine pregnancy occurs, the iud will need to be removed and it is highly likely to cause an abortion. ...Read more
Doctor discussed options for heavy period relief due to uterine fibroid. Leaning toward NovaSure over Mirena (levonorgestrel). Is this procedure safe and effective?
Where's the fibroid?: Both options are good for controlling heavy bleeding. You need a tissue diagnosis first prior to either. A mucosal fibroid (one in the uterine cavity may need to be resected first (look up Myosure procedure). An endometrial ablation is otherwise very effective and choices exist (Freezing, thermal balloon, radio frequency, microwave, laser, hydrothermal, electrotherapy, etc). Your Doc will pick. ...Read more
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