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Doctor insights on: Laparoscopy Patients Endometriosis Interested Fertility

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Dr. Loki Skylizard
633 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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What's the biggest issue affecting IVF success for patients with endometriosis? Egg quality? Implantation?

What's the biggest issue affecting IVF success for patients with endometriosis? Egg quality? Implantation?

Inflammation: Endometriosis is an inflammatory disease. Ivf avoids the problems with fertilization and egg transport, but there absolutely still could possibly still be issues with egg quality and with implantation. ...Read more

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I have endometriosis and fibroid tumors (occasionally ovarian cysts). OB recommend hysterectomy. Read about Acessa. Wondering: procedure any good?

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

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PCOS, Endometriosis, Heavy Cycles, 33yo, tubal ligation 3 yrs ago. Would an endometrial ablation lessen my symptoms/cancer risks?

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

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Wife ttc. Done HSG has dilated left tube. Hydrosalpinx. Need laparascopy prior to ivf. Need surgeon in south florida with cash discount. No insurance?

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

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Is pregnancy possible after bilateral endometriosis surgery (laparoscopy cystectomy)?

Is pregnancy possible after bilateral endometriosis surgery (laparoscopy cystectomy)?

Yes: As long as there are no other fertility problems, you should have a chance to conceive after removing bilateral endometriomas. If you do not get pregnant after 6 months of attempts, you may want to consider setting an infertility specialist for assistance. ...Read more

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What are the problems after laparoscopic appendectomy - ovarian cysts?

What are the problems after laparoscopic appendectomy - ovarian cysts?

Appendectomy: Surgical risks of laparoscopic appendectomy are low risks of bleeding or infection the first few days after surgery. There is no long term problems after surgery. Ovarian cysts are not related to appendix surgery. ...Read more

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Is laprocopy surgery necessary for arcutate uterus shown by HSG . Tubes normal and Ultrasound shows normal uterus with PCOD. Age: 25 years and married?

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 more

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Menorrhagia, Hysteroscopy, better cycles, recommended Hysterosalpingogarm before Clomid, (clomiphene) (TTC) Don't want radiation in my body.

Menorrhagia, Hysteroscopy, better cycles, recommended Hysterosalpingogarm before Clomid, (clomiphene) (TTC) Don't want radiation in my body.

Not a concern: You have not actually asked a question, but I will comment: do not worry about the x-ray exposure from the HSG, it is limited and safe. It is very wise to have it done before starting fertility treatments of any kind; you may save yourself many wasted cycles. ...Read more

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After ovarian cyst surgery women is able to pregnant?

After ovarian cyst surgery women is able to pregnant?

Yes, if: Yes, if tubes are patent, one of the ovaries is functional and there are no other medical reproductive issues with her or her partner. ...Read more

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Successful ufe in 2005; can myomectomy help my bladder issues--18 wk uterus size?

Successful ufe in 2005; can myomectomy help my bladder issues--18 wk uterus size?

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 more

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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

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

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Does my OBGYN need an assistant surgeon for regular (non robotic) laparoscopic myomectomy?

Does my OBGYN need an assistant surgeon for regular (non robotic) laparoscopic myomectomy?

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

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Polycystic ovarian disease ever experience pregnancy?

Polycystic ovarian disease ever experience pregnancy?

Yes!: Many women with pcos do conceive on their own, especially if they are healthy and maintain a proper diet and exercise program. If they need help, our treatments are phenomenally successful! ...Read more

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Do you suggest laparoscopic surgery for ovarian cyst prior to open surgery?

Do you suggest laparoscopic surgery for ovarian cyst prior to open surgery?

Yes: If a surgery is amendable to laparoscopic, then i always recommend going that route. The recovery is faster, the pain is less, lower rates of infections. Not all surgeries can be done laparoscopically, but if it can be then do it. ...Read more

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Do lap surgery for removal of endometriosis cysts also lowers the amh level from ovaries?

Do lap surgery for removal of endometriosis cysts also lowers the amh level from ovaries?

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

Dr. Michael Traub
1,239 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
2,091 doctors shared insights

Laparoscopic Surgery (Definition)

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