Doctor insights on:
Sequence Of Events In A Woman With Endometriosis
Absolutely: Endometriosis can affect fertility and apls can affect miscarriage. So the two affect different parts of the process. If you know you have both of them, then you should definitely seek fertility care at least for an evaluation to see how the endomeriosis is affecting things. And you would likely want to take Lovenox (enoxaparin) at a certain point just before or during pregnancy. ...Read moreSee 1 more doctor answer
A lot: Endometriosis is present in about 3% of women, but in fertility clinics about 60% patients may have it. Therefore endometriosis can definitely affect fertility. Endometriosis can cause adhesions, tubal blockage, defects with ovulation, increased inflammation, decreased egg quality, etc... Surgery for endometriosis, more specifically endometriomas, can also affect your ovarian reserve. ...Read moreSee 2 more doctor answers
How would I know for sure if I have endometriosis without a doctors help? And do all cases of endometriosis end with the woman unable to bear children
Laparoscopy only: The diagnosis of endometriosis is only able to be confirmed by direct visualization (and ideally excisional biopsy) using a minimally invasive outpatient surgical technique known as laparoscopy. This can be done with minimal recovery and downtime. Endometriosis is not detectable by pelvic exam, pap smear, cat scan, mri, or ultrasound. Most women with endometriosis, properly treated, can have kids. ...Read moreSee 2 more doctor answers
This varies: This is a very individualized question. Endometriosis is definately associated with infertility. But it is unclear what degree of it is needed to impair fertility. Some women have very mild implants of endometriosis yet cannot conceive. If you were diagnosed with the condition, it does not mean you are fated not to concieve. It is a long process of evaluation and follow up. Just stay encouraged. ...Read more
Patch: There is no correct answer to that question, but probably an estrogen patch will be of most benefit. And if you have a uterus, probably continuous Progesterone will be of some benefit in helping to suppress any residual endometriosis. But there are many different ways to go about this. ...Read moreSee 1 more doctor answer
Not really: Pain can make you irritable. There is a condition called premenstrual dysphoric disorder that is a more severe form of pms not due to endometriosis, and that could be the reason you are moody. Can be treated, keep a log of your emotions in relationship to your menses and go see your gyn for treatment. ...Read more
Can a woman in her late 40s still get endometriosis, and can it cause pains to radiate all the way to the sides of the abdomen and lower back?
No: Ovarian endometriosis (called endometrioma) is associated with infertility but some women will not have a problem. We try not to remove the ovarian endometiomas these days because we may make the fertility potential worse. Medical therapy usually will not make them go away if they are over 1-2cm. Discuss your situation with your rei for options and stay positive. ...Read moreSee 1 more doctor answer
Endometriosis: No. Endometriosis is the abnormal presence of endometrium (see microscopy picture) outside of the inner uterine cavity. The tissue deposits on the ovaries, fallopian tubes and surrounding organs causing scarring, infertility and pain. Proper diagnosis is established by laparoscopic exam and sampling of the suspicious tissue. ...Read moreSee 1 more doctor answer
Check on placebo: Your MD could check an FSH level towards the end of your placebo week, although it could miss it. You are awfully young to be looking at mean pause, although premature menopause can happen. If you were going trough premature menopause, the most likely treatment would be low dose OCPs, which you are on. ...Read more
How many eggs can be retrieved (average) on 150ml gonal f (follitropin alfa) per day for mid ovarian reserve woman age 32 with endometriosis?
Very difficult to : Say exactly. Not knowing anything about your history makes this difficult but in general we start with 225 total units of gonadotropins and in a 32 year old with endometriosis the range is wide: 0-15. I am not a fan of giving a precise number becuase there are so many variables involved... ...Read more
Is an IUD a good birth control option for me? I'm a married, childless woman with endometriosis and do Crossfit 5x a week.
Is a uterus size 9x4x5cm witj a hemging cyst size18x9x13 normal with endomertiom of 6mm thicnkness in a 32 year old woman. That has endometriosis ?
Depends: If you mean 18mmX9mmX13mm then yes, but if the measurement was cm (centimeters) then that's very large and needs to be addressed. A hemorrhagic corpus luteum (cyst that forms after ovulation) is normal and 18 mm (millimeters) in size is quite normal. Your endometrial thickness is fine as is your uterine size. ...Read more
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