Endo/IF question

[Bernadine]

How many laparoscopies are generally advisable?  I remember reading something once that "they" don't recommend more than two.  I've already had two.  I'm just trying to prepare for needing assistance getting pg, since I wasn't able to before.  I'll be mad if I wasted both of my laps on xh, lol.

[Deleted]

I don't know but I'd try not to worry. I've had one and was never warned about two max. The thing with endo is they are never totally sure what is going on in there until they get in there. You may have zero problems with IF.

[car.ramrod]

I am not sure how many are recommended but I had three before becoming pregnant with my first DS.  I had it when we decided we were ready to start trying as my RE said that would give us the best chance.  I got pregnant three months later.  I was able to control the endo between the two pregnancies with breast feeding and then birth control but was definitely in more pain when we tried for our second DS.  I only made it about 16 months after his birth and I had a fourth and then ended up having a partial hysterectomy (they took everything except one ovary so I still have hormones) two months after that due to never ending pain.

I think really every person is different.  I had mine done with a Reproductive Endocrinologist since he was very respected in his field and I knew he would do everything possible to protect my fertility.  Endo sucks though and it seems never ending.

[Bernadine]

Feb 26, 2014 9:04:52 GMT -5 @gypsy said:

I don't know but I'd try not to worry. I've had one and was never warned about two max. The thing with endo is they are never totally sure what is going on in there until they get in there. You may have zero problems with IF.

I already have had problems with IF with xh.  We tried a few iui's that didn't take.  I'm not really worrying, just trying to prepare.  I hear the faint echo of my clock ticking, lol, so I don't want to wait too long.

[gmail]

One of my RE's told me that he didn't like to do more than 2 b/c it started to diminish ovarian reserve. IDK if this is bunk, but that's what he said

[Bernadine]

Feb 26, 2014 11:25:55 GMT -5 @starflower22 said:

I've only had 1 so far, but no one has ever told me I have a limit. The lap didn't help my IF, and I also had unsuccessful IUIs. Were doing IVF in a few months, so hopefully that works! Is that an option for you, should you need it? It's a good avenue fof people with wonky endo tubes Good luck!

I don't know if I'd do IVF.  I would have before, with xh, but I might be ok going child-free if IUIs don't work J and I.  If it even comes to that.  J has a son, so I could just focus my attention on being an awesome stepmom and aunt, and have that be enough.

Good luck to you!  Keep us updated!

[tdk2]

If it gives you hope, I have severe endo and was assumed infertile for years for many reasons.

I have 2 kids now

I didn't do any really special treatments immediately before c's pg. I had done 4 months of continual birth control to try to dampen symptoms which were flaring again. And I got pg shortly after I stopped. I had been on hormone treatments on and off over the years, laps, and a course of lupron. But those had been years prior to pregnancy. Perhaps it was all pure luck, but just to let you that there is a chance.

I think the actual # of laps all depends on your dr. I'd look for a specialist if I were you and considering a lap. I have heard some of the hesitation is a less endo/lap-skilled surgeon can inadvertently spread the tissue around and accidentally make it worse. If you live anywhere neat Atlanta, there is a well known endo clinic there about which I have heard rave reviews, if it comes down to it.

Don't feel hopeless or like you wasted laps on your xh. I don't know your fertility history, but when you do start ttc, there is still a chance.

[gmail]

Oh, also...

I have Stage 4 endo all around my ovaries, ute, bladder, bowel. I had one lap in Sept 2008 and went on Lupron before TTC. We tried for 11.5 months with DS and I got pg on my own right before Clomid.

Good luck!