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Laparoscopy Patients Endometriosis Interested Fertility
Yes: Yes, as good as gonadotropin therapy usually. ...Read more
Laparoscopy involves placement of a small camera-scope into the abdominal cavity, most often at the belly button. This allows us to see and surgically rx many abdominal and pelvic diseases. This is combined with distinction of the abd cavity with co2 gas to create more space to work. This usually requires a general anesthetic, yet most people can go ...Read more
What's the biggest issue affecting IVF success for patients with endometriosis? Egg quality? Implantation?
I have endometriosis and fibroid tumors (occasionally ovarian cysts). OB recommend hysterectomy. Read about Acessa. Wondering: procedure any good?
Perhaps not for you: Acessa is a novel, fairly good and very promising procedure for treating uterine fibroids and preserve the uterus. Its success depends often on the size, location and number of fibroids in a uterus. It is not a treatment for endometriosis. Hysterectomy laparoscopic, transabdominal or transvaginal at this point in your life may not be a bad recommendation, particularly if you are very symptomatic ...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
Wife ttc. Done HSG has dilated left tube. Hydrosalpinx. Need laparascopy prior to ivf. Need surgeon in south florida with cash discount. No insurance?
I agree: We are in north florida but work out of a surgery center in our office where we have control over costs and can offer very competitive cost structure for cash pay patients. www.jcrm.org. We would be happy to help. Our patients now come from all over the southeast and south florida for surgery so we are used to working with people from out of town. ...Read more
Is laprocopy surgery necessary for arcutate uterus shown by HSG .
Tubes normal and Ultrasound shows normal uterus with PCOD. Age: 25 years and married?
No.: No. An arcuate uterus has a slight midline septum with a broad fundal cavity indentation. There is a risk of miscarriage is greater with longer septa. Pregnancy outcomes are usually good. If treatment is necessary, hysteroscopic resection is usually the treatment. I would suggest that if you are having recurrent miscarriages. ...Read moreSee 1 more doctor answer
Menorrhagia, Hysteroscopy, better cycles, recommended Hysterosalpingogarm before Clomid, (clomiphene) (TTC) Don't want radiation in my body.
Uterine Fibroids: The fibroid is creating an environment structurally similar to carrying a 5 month pregnancy! as the uterus enlarges, the bladder loses its' capacity and this leads to frequency of urination, leakage of urine, and indirectly more frequent urinary tract infections. ...Read moreSee 1 more doctor answer
I have endometriosis w/ 1 failed IVF and 3 frozen embryos left. Would another laparoscopy to remove endo help implantation with an fet? Last lap 2/13
Not likely: I think for years we were more concerned about things like that. Now we known in the absence of specific problems with the uterus lining or cavity, that most ivf cycles fail because the embryos were genetically abnormal. So at age 31 likely half of all good day 5 embryos are genetically abnormal. Hopefully on of the frozen ones is good quality and genetically normal! ...Read more
How to increase chance of success with IVF with endometriosis? Laproscopic surgery was unsuccessful at removing endo. Advised not to take lupron (leuprolide) now.
Typically one: When doing laparoscopic surgery an assistant is sometimes needed to act as a "third hand" especially when using multiple ports for instruments in certain procedures. The assistant need not be another physician but may be a member of the surgery staff or in a teaching institution, a resident. ...Read more
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
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