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Doctor insights on: Laparoscopy Patients Endometriosis Interested Fertility

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Do you recommend laparoscopy in patients with suspected endometriosis even if they are not interested in their future fertility?

Do you recommend laparoscopy in patients with suspected endometriosis even if they are not interested in their future fertility?

Yes: If the patient is having pain and this pain is interfereing with her quality of life, laparoscopy is necessary to diagnose and treat the disease. On the other hand if the patient is able to carry a regular life then laparoscopy may not be necessary. ...Read more

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Dr. Loki Skylizard
624 doctors shared insights

Laparoscopy (Definition)

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


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25 yr old, no children, had laparoscopy to treat moderate endometriosis. What is chance of fertility being unaffected & when is best time to try?

25 yr old, no children, had laparoscopy to treat moderate endometriosis.  What is chance of fertility being unaffected & when is best time to try?

Best Time,read: The highest probability of conception occurs when intercourse takes place one to two days prior to ovulation and on the day of ovulation. Optimum semen quality, measured in terms of motility, morphology, and total sperm count, occurs when there are two to three days of ejaculatory abstinence; longer intervals are associated with lower pregnancy rates. Regular intercourse two to three times per wee. ...Read more

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Will a second laparoscopy to remove min/mild endometriosis restore my fertility again? I had one to conceive my 2nd child in 2012 naturally.

Will a second laparoscopy to remove min/mild endometriosis restore my fertility again? I had one to conceive my 2nd child in 2012 naturally.

Depends entirely: upon severity and location of endometriosis. Ask your gyn, preferably the one who did the last laparoscopy, for a specific opinion in your case. ...Read more

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Ovitrelle 250 is better or Zyhcg 5k i.u? I'm 33 endometriosis patient & underwent laproscopy last yr. Till date 4 IUI failed.... 5 is scheduled!!

Ovitrelle 250 is better or Zyhcg 5k i.u? 
I'm 33 endometriosis patient & underwent laproscopy last yr.  Till date 4 IUI failed.... 5 is scheduled!!

Depends: In order to answer this question, I need a little more information. It sounds like you have undergone ovulation induction and will need the HCG to help with ovulation and luteal phase support alond with the IUI. Work with your doctor on this. Most infertility centers have protocols that they use that have good science behind them. Keep stress down and the New Year may bring you success! ...Read more

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Great discomfort prebowel movement in abdomen.Laprascopy done 10/13. Diagnosed w endometriosis and pos.3x liver transplant patient.What could this be?

Great discomfort prebowel movement in abdomen.Laprascopy done 10/13. Diagnosed w endometriosis and pos.3x liver transplant patient.What could this be?

See you doctor: After any surgery, there's always the chance of forming adhesions, which can cause cramping and abdominal pain. Endometriosis, in an of itself, of course, can cause severe pain as well. I would definitely discuss with your doctor. I wasn't sure what you meant by pos.3x liver transplant? You've received 3 liver transplants? Rephrase your question re that if you care to. ...Read more

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Is laparoscopy the only definitive way to diagnose my endometriosis?

Is laparoscopy the only definitive way to diagnose my endometriosis?

Yes: All other tests and ultrasounds are not diagnostic , just suggestive of this condition. Taking suspicious tissue from the pelvic organ is it. Laparoscopy makes this possible with very little pain or bleeding. ...Read more

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I was diagnosed as having stage III endometriosis at the time of laparoscopy. What does this mean?

I was diagnosed as having stage III endometriosis at the time of laparoscopy. What does this mean?

Endo stagging: There are 4 stages 1, 2, 3, 4. One being the mildest and 4 the most severe. These stages mostly are use to correlate with the ability of the partient to get pregnant. Stage 3 has high infertility risk and should improve with proper surgical and hormonal treatment. ...Read more

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2 weeks post-lap for endometriosis. How much pain should I be having? Can adenomyosis be diagnosed in a laparoscopy?

2 weeks post-lap for endometriosis. How much pain should I be having? Can adenomyosis be diagnosed in a laparoscopy?

No pain: 2 weeks after a laparoscopy there should be no pain; however, individual tolerance to pain varies widely. Adenomyosis is inside the uterus and cannot be detected by laparoscopy but sometimes by ultrasound or MRI. ...Read more

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Without a laparoscopy are there any other ways to diagnose endometriosis?

Without a laparoscopy are there any other ways to diagnose endometriosis?

Sometimes: The true diagnosis of endometriosis requires a biopsy and a pathologist to confirm the diagnosis. Almost all the time this requires an abdominal procedure, commonly laparoscopy. However, some women may have nodules of endometriosis in the vagina, for instance, that can be biopsied in the office to prove endometriosis. Usually this is a bad prognostic sign. ...Read more

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How long after endometriosis laparoscopy can I fly?

Depends : This day and age, most anesthetist do not use nitrous, so u can technically fly next day. Waiting a wk is a good idea so that ur comfortable. ...Read more

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Can bladder endometriosis be picked up in a laparoscopy?

Can bladder endometriosis be picked up in a laparoscopy?

Yes and no: If bladder endometriosis is on the tissue that covers the bladder, it could be seen with laparoscopy. If it is in the bladder itself, it may take cystoscopy (looking inside the bladder) to see this. ...Read more

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What do they do during laparoscopy surgery for endometriosis?

What do they do during laparoscopy surgery for endometriosis?

Steps: anesthesia, small port openings, introduce carbon dioxide to allow exposure, introduce devices to view and work, visualize abnormalities, cauterize, remove, drain, Lyse adhesions, remove cysts are all possibilities, then close port sites ...Read more

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I'm in extreme pain day after laparoscopy for endometriosis. Is this normal?

I'm in extreme pain day after laparoscopy for endometriosis. Is this normal?

No please call: Your surgeon to discuss, it is normal to have some pain but it should not be extreme, there may or may not be a problem that needs to be addressed this evening, please all your doc now. ...Read more

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Could it be healthy to wet the bed after a diagnostic laparoscopy for endometriosis?

Not really...: Leakage of urine after surgery could be related to many different issues. Some women experience a slow return to normal bladder function after surgery and anesthesia. This usually resolves within 24 hours. However, persistence of urinary problems after surgery should be addressed immediately as they could signal a bigger problem such as infection or trauma to the bladder. ...Read more

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Can somebody undergo laparoscopy and still have the diagnosis of endometriosis missed?

Yes: At times endometriosis is a very subtle disease. The endometriotic implants can vary in size and color. The colors can be clear, red, blue, brown, or black. They can appear under other organs and can usually be found by experience dlaparoscopic surgeons. ...Read more

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Please advise if it's normal to wet the bed after a diagnostic laparoscopy for endometriosis?

Maybe: If it happens once or twice early in the postop period, in may be related to the general anesthesia affecting the bladder function. If it is persistent, or associated with a burning sensation, call your surgeon to have the urine checked for infection., Hope this helps! ...Read more

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I had laparoscopy April 7, 2014 to treat endometriosis. I am still bleeding, is it normal?

I had laparoscopy April 7, 2014 to treat endometriosis.  I am still bleeding,  is it normal?

Laparoscopy: maybe, but it's unusual. if possible you should follow-up for an exam and an evaluation with the doctor who did your laparoscopy. ...Read more

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What is the best time of the cycle (please be specific) to perform laparoscopy to cauterize endometriosis?

What is the best time of the cycle (please be specific) to perform laparoscopy to cauterize endometriosis?

Early: The best time to perform the surgery is in the first 10 days of your cycle. If you are on birth control pills at the time, then it can be done later in the cycle as well. ...Read more

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Dr. Michael Traub
1,227 doctors shared insights

Endometriosis (Definition)

An abnormal condition where the lining tissue of the uterus, is located outside the uterus. The displaced tissue, just like the tissue lining the uterus, bleeds during each menstrual cycle. Endometriosis can be very painful, and can result ...Read more


Dr. Barry Rosen
2,080 doctors shared insights

Laparoscopic Surgery (Definition)

Laparoscopy is a form of less invasive abdominal or pelvic surgery that uses instruments placed inside ...Read more