Endo and chronic PID

Hi, thanks in advance for you help.  I am a 32 year old female - average weight. My day 3 FSH is 5.4 and I'm ovulating regularly (confirmed with prog test of around 30).  My husband's semen analysis is normal. Before yesterday I had "unexplained infertility" but now it is explained as I underwent a laser laparscopy yesterday. My doctor did not explain my diagnosis with me, all I got was my discharge letter and I have to wait 6 wks for my post op appt to get more details.
The discharge letter reads:
1. Endometriosis
2. Chronic PID
Lap ablation Endometriosis with laser
Lysis Adhesions

I am very concerned about the PID. I'm relatively sure I have never had an STD as I was checked every year with my PAP and was checked when I first started dating my husband. I have, however, did have an abortion six and a half years ago which may have caused it. I have exhibited no symptoms EVER of either PID or endometriosis.  I have no details on any permanent damage to my organs.

My questions are:
What specific questions should I ask my RE about my prognosis in order to guage my chances of ever conceiving or carrying a child to term? What is your opinion of the above information with regard to ability to have a child - have you seen a lot of PID patients eventually get pregnant? Will IVF work for me, or does it depend on the severity and if it depends on the severity, what specifically is "bad" or what am I hoping for here? Any direction would be greatly appreciated. Thanks!!!

[Forum-M.D.-SP]

Excellent questions. PID is often silent and it is impossible to conjecture when you had it. Regarding the surgery, there are three scenarios:

1) if the adhesions were quite extensive and if after removing the adhesions the fallopian tubes look healthy and are open, your chances of conceiving are good, but you may be at a little bit of an increased risk of ectopic pregnancy in the fallopian tube. This is because it is likely that the adhesions were more likely to have contributed to your difficulties in getting pregnant

2) If there were only a few adhesions, then it is not likely that they were contributing much and in this case the surgery will not improve your chances greatly.

3) If the adhesions were extensive, but after surgery many adhesions remain or  the tubes are damaged significantly, then your chances of getting pregnant may not be greatly improved and your risk of a tubal pregnancy will be high.

Similarly with endometriosis:

1) if the endometriosis was moderate-severe and was successfully removed, your chances of getting pregnant as a result of the surgery are improved.

2) if the endometriosis was minimal-mild and successfully removed, your chances of getting as a result of the surgery are improved but only modestly

3) if the endometriosis was moderate-severe and not completely removed, then it is unlikely that your chances of pregancy have been improved by the surger

If you need IVF, either because your tubes have been damaged, or if you decide after speaking with your MD to try on your own for awhile but you do not get pregnant, then your chances of getting pregnant and delivering a baby at age 32 are excellent, regardless of the extent of endometriosis or adhesions.

Hope this helps.

[amanda456]

Hi! Actually some good news for you. There is a 6 month window after you have a lap performed to get pregnany where your chances are good. Talk to your obgyn about this. I have severe endo, but no PID. Do you get long periods or do you have really bad cramping. If you have had it this whole time you may not know what a "normal" period is like and just assumed your period is like every one elses. You can still get pregnant having endo but there is damage to the tubes and leisions ect that increase your chances of eptopic. find out how severe your endo is and if they got it all.

[lisa940]

all that about endometrosis is no true i have got endo and have savere pain like a sharp shooting pain and its horrible and i have also got polysystic ovaria disease and it is horrible but it dosnt mean at all that ur tubes are blocked i have started treatment and i now feel great about the situation and u will get pregnant it just takes time maybe ur trying to hard stop trying for a baby and forget about it then it will happen sooner than u think that is the best advise ever email back if u like to ***@****

[rantprant]

A related discussion, My ability to conceive and carry normally? was started.