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endometriomas and preganancy
I was diagnosed with endometriomas in a vaginal sonogram and a laproscopic surgery is scheduled for next month. My question is would I be able to get pregnant naturally (with out any IUI,IVF etc..) once the endometriomas are removed?
I agree, wait until you see the RE before you start any Femara or whatever. Just go natural until then (hey, never know!!!!).
Your RE is bound to want to do his own thorough testing. Can you get a copy of your surgical notes from your OB over to him? Or better yet, the whole file from your OB? That's one thing we had to do when we started with the RE. He also wanted to do his own surgery, but it had been more than 6 months since the previous surgery. It took me almost a year before I consented to do another surgery. We tried it on our own first based on the RE's information. Finally I just had to say "do it...fix me...whatever it takes....just help us". And finally, something worked.
Take care of yourself. Try to cough and breathe deep. Walk a lot and drink your water. That should help clear out all those lovely drugs and the anesthesia. If you get one of those "bubbles" that sometimes lodge themselves in the WORST places, oh they hurt.... massage (I had hubby beat on me, seems weird but helped), coughing, walking, stretching, and sometimes an anti-gas medicine like Gas-X will help.
Your RE is bound to want to do his own thorough testing. Can you get a copy of your surgical notes from your OB over to him? Or better yet, the whole file from your OB? That's one thing we had to do when we started with the RE. He also wanted to do his own surgery, but it had been more than 6 months since the previous surgery. It took me almost a year before I consented to do another surgery. We tried it on our own first based on the RE's information. Finally I just had to say "do it...fix me...whatever it takes....just help us". And finally, something worked.
Take care of yourself. Try to cough and breathe deep. Walk a lot and drink your water. That should help clear out all those lovely drugs and the anesthesia. If you get one of those "bubbles" that sometimes lodge themselves in the WORST places, oh they hurt.... massage (I had hubby beat on me, seems weird but helped), coughing, walking, stretching, and sometimes an anti-gas medicine like Gas-X will help.
Thanks so much!!!! I'm glad to know that someone else didn't like the idea of lupron and still got bfp!!! No my dr is an obgyn that does infertility, but i actually just made an apt with an RE as well... i think that it would be better to have someone that specializes soley on getting patients pregnant! That apt is in a couple of weeks, so not sure what i'll do about the femara until then.. no other suggestions from her yet tough... i think i might need progesterone of some sort since i have premenstrual spotting (i'm going to try to get that checked this week, but i've been bad about opk since i had the surg) and then my dh is getting his SA done this week too. It doesn't sound like mechanically any of the endo will get in the way since there aren't adhesions/scar tissue, but i have heard that they can release chemicals that make it not friendly for implantation etc.. so we'll see.. i'm kind of leaning towards doing one all natural cycle or seeing the RE first before doing the whole menopause thing! I just don't want to waste anymore time! (sorry my post is loopy, i still feel so out of it since i got out of surgery yesterday evening!!! ) thanks so much for all of your help! I'll keep ya updated!
Glad to hear the surgery itself went well. Sorry to hear that you have bad news. I wish I could help on the Femara, but that's new to me. They only had Lupron when we went through all this and I rejected it for the same reasons you are.
Is your doc an RE? What, in the ways of getting you pregnant, have they suggested...like using Follistim with IUIs or anything? Or are they hoping to get rid of some of the endo before you get pregnant?
Hopefully you will find your answers, maybe someone out there is in your same boat.
Is your doc an RE? What, in the ways of getting you pregnant, have they suggested...like using Follistim with IUIs or anything? Or are they hoping to get rid of some of the endo before you get pregnant?
Hopefully you will find your answers, maybe someone out there is in your same boat.
Thank you all so much for your support and kind words!!! i really really appreciate it!! so i'm back from surgery (and feeling waaay too dopey at the moment) and there was good news bad news.. good news: they were able to remove the cyst without removing the ovary or tube, my hsg was nice and clear and both tubes open... now bad news : ( the doc actually said that once she was in there it was one of the worst cases of endo she has ever seen!!!! i just can't believe it! she said i am just completely covered on my bladder and bowel, so she said she really did'nt do much "clean up " since there were no adhesions anywhere (i was shocked about that!) and only two or three implants on my "good ovary" and none on my uterus, so she wants me to do six months of medical treatment, she orginally said lupron, but i declined that and we have comprimised on three months of femara.... anyone have experience with this for endo suppression? i'm not sure if its the right thing to do , to waste anohter three momths of ttc or not, ahhh so confusing, still in shock, since i never really had symptoms that i'm so torn up inside! anyhow thanks so much for yalls support! i'll get to see my ugly pics in one week! yikes!
Totally agree with lhughes - Keep your upper body propped up or you will regret it. Didn't think that gas from a surgery "down there" could travel and cause so much pain in my shoulders, but it did! Take it easy - it's really not that bad otherwise, though. good luck :)
Thanks so much for the advice, i need any and all i can get!! My husband is taking the day off and will be going with me, he has been wonderful!!! I'll make sure and get up and walk, and i'll have my DH walk the pups so that they are a little calmer!! You didn't freak me out at all, you gave me lots of hope! which is just what i needed! i'm ready to get this show on the road -get in there figure out what we are dealing with and get a game plan to get that BFP! They will be doing an HSG while they are in there to look at my tubes and my DS is going for a SA this week too.. so we'll have a lot more info within the next several weeks!! I'll let ya know what they find tomorrow! thanks so much!!!
We swung both pregnancies with one working tube. My left fallopian tube was too narrow to allow an egg to pass, so we had to watch and make sure I ovulated on the right side alone. Strangely, luckily, work of God...the one IUI we did with Follistim (the first and happened to be the last) worked.
So, one ovary or not, you still have a chance to get pregnant. Not quite as good, but there are many things that can up those odds to make them decent.
When I had my lap, there was a list of at least a dozen possible outcomes that could happen that I had to consent for, including appendectomy, ruptured somethings, removal of ovary or tube, hysterectomy, removal of endo, removal of fibroids..... of course we didn't know what we were going to find, so it was all a mystery until the doc could get in there and see.
MOST of the time, one week is more than sufficient. Just get up and get moving as soon as you can, cough deeply to get that old, stale air out of your lungs, cough harder to uproot that gas.. and get walking. IF YOU LAY DOWN, the GAS will STAY THERE and IT WILL HURT LIKE YOU JUST DON'T KNOW!!!!!
Ok, that's my mom's lecture, so do as she says. BTW she's a nurse who worked Outpatient for 7 years and ICU for 20 years so she knows what she's talking about. I was up and at 'em the next day after my last surgery. Not fully up to par mind you, but up anyway.
Ask for reglan or zofran or something for nausea. It really does help. The surgery is not so bad, though. So I hope I haven't freaked you out. It only takes around an hour depending on what they find and what they have to do. Do you have family going with you, I hope?
Best of luck, hope it all goes well for you! Talk to me when you get back.
So, one ovary or not, you still have a chance to get pregnant. Not quite as good, but there are many things that can up those odds to make them decent.
When I had my lap, there was a list of at least a dozen possible outcomes that could happen that I had to consent for, including appendectomy, ruptured somethings, removal of ovary or tube, hysterectomy, removal of endo, removal of fibroids..... of course we didn't know what we were going to find, so it was all a mystery until the doc could get in there and see.
MOST of the time, one week is more than sufficient. Just get up and get moving as soon as you can, cough deeply to get that old, stale air out of your lungs, cough harder to uproot that gas.. and get walking. IF YOU LAY DOWN, the GAS will STAY THERE and IT WILL HURT LIKE YOU JUST DON'T KNOW!!!!!
Ok, that's my mom's lecture, so do as she says. BTW she's a nurse who worked Outpatient for 7 years and ICU for 20 years so she knows what she's talking about. I was up and at 'em the next day after my last surgery. Not fully up to par mind you, but up anyway.
Ask for reglan or zofran or something for nausea. It really does help. The surgery is not so bad, though. So I hope I haven't freaked you out. It only takes around an hour depending on what they find and what they have to do. Do you have family going with you, I hope?
Best of luck, hope it all goes well for you! Talk to me when you get back.
Thanks so much for your encouraging story lhughes! this is defintely the most stressful time in my life (who would have thought!!!) each month i convince myself i won't be emotional come AF and i get all hopeful, then sure enough i get emotional each time, and i think it gets worse each time!!!
Well I have my Surgery tomorrow and am so scared, they are even writing on all of my paperwork that i'm having the cyst removed plus possible LSO (removal of the left ovary and tube!) ugh, i just hope that other ovary will be up for the job of taking over and nothing will grow and destroy that one!!! I"m sooooo nervous! Took a week off work, not sure if thats a good amount of time or not.. thought i'd give myself a little extra time if i needed it. Thanks for your help!!!
Well I have my Surgery tomorrow and am so scared, they are even writing on all of my paperwork that i'm having the cyst removed plus possible LSO (removal of the left ovary and tube!) ugh, i just hope that other ovary will be up for the job of taking over and nothing will grow and destroy that one!!! I"m sooooo nervous! Took a week off work, not sure if thats a good amount of time or not.. thought i'd give myself a little extra time if i needed it. Thanks for your help!!!
Anyway that works to get the body working right for a baby is ok in my book. Some people just need that extra "boost". Thank God that we have the knowledge to give us an assist when it's needed.
Ya'll make me think about all I went through to finally get my 2 little blessings, and it makes me so thankful that they are here, no matter how they were concieved. I just hope that you guys can also have that feeling, hopefully this year or maybe next. Just keep praying for those miracles, and I'll keep up the prayers that yours are answered.
PS.. my hubby says I was not very happy during this time, so if my story can give someone an ease in their heart which in turn makes them a little happier, then that's good for me and probably for a husband, too.
Baby dust to everyone who longs for that child in their heart to become one in their arms.
Ya'll make me think about all I went through to finally get my 2 little blessings, and it makes me so thankful that they are here, no matter how they were concieved. I just hope that you guys can also have that feeling, hopefully this year or maybe next. Just keep praying for those miracles, and I'll keep up the prayers that yours are answered.
PS.. my hubby says I was not very happy during this time, so if my story can give someone an ease in their heart which in turn makes them a little happier, then that's good for me and probably for a husband, too.
Baby dust to everyone who longs for that child in their heart to become one in their arms.
I just want to say what a wonderful addition to MedHelp this forum is. I was 31 and ttc for about a year with no success naturally or with multiple IUIs. So, on to a lap where they found stage III endo - I had NOT ONE symptom - totally normal periods, no pain at all! So after having that removed, I was still having bleeding before af, and then they found and removed a fibroid...well I'm back on the trail of ttc again (naturally, but with Femara, HCG injections, and progesterone suppositories starting on 3 DPO- ok, maybe that's not so "natural"!)
Anyway, my point is, lhughes, your posts are encouraging, because our stories sound similar and it's nice to know I have hope for a baby!!...
thanks!!
Anyway, my point is, lhughes, your posts are encouraging, because our stories sound similar and it's nice to know I have hope for a baby!!...
thanks!!
PS.. on the progesterone question, it falls under the "can't hurt, might help" philosophy. You start using the suppositories just after O until AF arrives. And if AF doesn't knock on your door, use it until 12 weeks or your progesterone levels are good enough for the doc. My RE wanted numbers in the upper 20s to 30s.
Hope AF stays away and at 6 weeks you hear that heartbeat. :)
Hope AF stays away and at 6 weeks you hear that heartbeat. :)
My hubby had a bit of apprehension when we started the IUI at the behest of my reg OB. He suggested going "the cheaper route" first before hitting the RE. He gave us a discount on the IUIs (he was such a good doc). Hubby went with me to all the IUIs whether it was with his sperm or the donor sperms we later used. Hubby and the doc always had a MUCH BETTER time during the IUI than I did. I think they actually forgot I was there a few times. Although it did make the 20 minutes go by pretty quickly.
Ya'll aren't yet running out of time (yet!). But I will say that I felt the same way too when I was there. Now that I'm on the other side of my babies and nearing 40, I think it was meant to be that I had to wait so long. I do know (and realize now) that it was God's design for me to get pregnant with Lauren by the time we found out my lump was breast cancer. Kathryn in her own rights was our first miracle, but Lauren was our gift.
Sometimes we get wrapped up in trying to "make things happen on our own time schedule" that we forget that we're not really in control of these things. I can say that now, being on this side. And I don't mean to make you guys cringe saying that, either. That's not my intent. My feeling for you, is for you to do what you need to for your own sake, but try not to focus on the total outcome. I believe that we aren't meant to be passive in our lives to do things, but we also aren't the ones in control of the outcomes. You just need to trust that things happen for a reason and do what you need to do to help make everything as good as you can (healthy diet, exercise, IUIs or IVF, progesterone, etc). Please don't slap me, juliesmom. :)
I'll send you my baby dust, can't use it anymore anyway! Good luck to all of you, I do hope you have wonderful outcomes in all this.
Ya'll aren't yet running out of time (yet!). But I will say that I felt the same way too when I was there. Now that I'm on the other side of my babies and nearing 40, I think it was meant to be that I had to wait so long. I do know (and realize now) that it was God's design for me to get pregnant with Lauren by the time we found out my lump was breast cancer. Kathryn in her own rights was our first miracle, but Lauren was our gift.
Sometimes we get wrapped up in trying to "make things happen on our own time schedule" that we forget that we're not really in control of these things. I can say that now, being on this side. And I don't mean to make you guys cringe saying that, either. That's not my intent. My feeling for you, is for you to do what you need to for your own sake, but try not to focus on the total outcome. I believe that we aren't meant to be passive in our lives to do things, but we also aren't the ones in control of the outcomes. You just need to trust that things happen for a reason and do what you need to do to help make everything as good as you can (healthy diet, exercise, IUIs or IVF, progesterone, etc). Please don't slap me, juliesmom. :)
I'll send you my baby dust, can't use it anymore anyway! Good luck to all of you, I do hope you have wonderful outcomes in all this.
I had an endometrioma removed from inside my left ovary about 3 months ago, it was the size of a soft ball. My gyn wanted to go ahead and remove the ovary but I resisted so he sent me to a gyn/onc after my CA-125 came back elevated, my Granny died with ovarian cancer and I think it really scared him. Anyway, the gyn/onc did his own TVU and exam and said that there was nothing about it, they were calling it a mass then, that made him think it was cancerous...so he sent me to a colleague, a RE who was able to remove the endometrioma and save my ovary. He made a window in that ovary and removed it, he says that the window should prevent another one from forming...let's keep our fingers crossed! You may want to ask about that procedure if you wish to preserve your fertility. My RE is also a fertility specialist so while he was in there doing my lap he went ahead and checked out everything else, tubes are clear and once he got done there were no adhesions anywhere that should prevent conception, we'll see about that. We've been TTC for 4 years with no medical intervention, I'm about fed up with that though. I approached my hubby about IUI the other day and he wasn't entirely put off by it so maybe that's what we'll try.
tatu1234:
I know how you feel, I'll be 35 in August and also feel like I'm running out of time. I have a daughter who is 14 so even if I were to get pregnant today, they would never really be close and it would be like starting all over. My husband can retire in 10 years and we'd like to be able to do some traveling at that point since we've both worked all our lives and never really had the opportunity, other than family vacations in the summer, to see the world. I have weighed the pros and cons and definitely think a baby is worth putting those things off, but maybe it's just not meant to be...who knows. I just wish people would quit asking me when we're going to have another one and saying things like "You're just trying too hard, it'll happen when the time is right." I could just scream and want to slap the next person who says that to me! Anyone else feel the same way?
tatu1234:
I know how you feel, I'll be 35 in August and also feel like I'm running out of time. I have a daughter who is 14 so even if I were to get pregnant today, they would never really be close and it would be like starting all over. My husband can retire in 10 years and we'd like to be able to do some traveling at that point since we've both worked all our lives and never really had the opportunity, other than family vacations in the summer, to see the world. I have weighed the pros and cons and definitely think a baby is worth putting those things off, but maybe it's just not meant to be...who knows. I just wish people would quit asking me when we're going to have another one and saying things like "You're just trying too hard, it'll happen when the time is right." I could just scream and want to slap the next person who says that to me! Anyone else feel the same way?
WOW thats an amazing story!!!! I hope we can be as lucky! I was always so uptight about preventing a pregnancy for years, who knew i would be in this situation!!! I'm thinking that i might go ahead and set up an appointment with an RE (from what i hear it takes a while to get into one) and that way we can be as proactive as possible! My DH is going to get a SA while i'm recovering from the surgery. I wander if we do it all natural if i should ask for progesterone supplement after O?? If not i'll have them at least test it after O. Thank you so much for sharing your amazing story! it gives me hope! which is defintely what i need right now!
To bny807: We tried for 3 years before we admitted we had issues. I had my first lap somewhere in the middle of those 3 years when I had SEVERE pain (ya'll know what I'm talking about). Doc found a number of spots of endo, more than 6 I think, and lasered them.
About a year after that lap (spring 2002), we had all the usual testing HSG, sperm, ultrasounds, etc.... and started IUIs (because of lack of sperm). We got pregnant on the first IUI with hubbies sperm, but that pregnancy failed around the 8 week mark. That was August 2002 when I had my D&C and they did the hysterogram (whatever you call it where they look at the inside of the uterus closely).
Did 2 more IUIs with hubby and 4 with donor sperm (2003) before finally consulting an RE (most of those ran consecutive months with no time off). The RE wanted to do his own lap, so that was lap #2. It was 2 years between laps, I think. He found more endo and a fibroid on my uterus. Lasered endo, left the fibroid (it was small). That was October 2003.
Did the last IUI in January 2004 with Follistim (the one and only time to do that) and got Kathryn. The progesterone starts the morning after the IUI in the form of suppositories. My progesterone didn't stay up like he wanted it, and started shots around week 7. Shots ended at the 12 week mark and was turned back over to my regular OB to continue the pregnancy.
Kathryn was born 30 Sept 04 and was breast fed up until August 2005 when we found out we were pregnant. I guess their prediction of "you'll never be able to conceive on your own" was not true!!! We were all surprised, all my docs, everyone. Ticked off my breast surgeon, though. He doesn't like complications. Started progesterone suppositories on the day I got a positive preg test at home (called doc and went in for usual testing), then progessed to shots at 7 weeks again. Lauren was delivered at 34 weeks 20 March 06.
Just goes to show sometimes God works in mysterious ways. And sometimes docs can be wrong. Hubby was diagnosed with azoospermia (no sperm), and Lauren is definitely his child.
To Tatu1234: I was 35 before Kathryn was born, 37 when Lauren was born, you aren't running out of time, maybe you are just coming into your time! It's hard to be patient and wait (I wasn't!), but maybe you are being prepared? Looking back, I'm a much better parent now than I would have been at 30.
To sum, it was more than a year after the first lap to get pregnant (but failed probably due to a lack of progesterone), but not quite 3 months after the second lap to attain a pregnancy.
FYI....When I was in my twenties, my first OB (not the one that delivered my babies) had said I had a tilted uterus, but that was not mentioned by my second OB, so I don't know if that was still the case for me, or not. ???
Baby dust and best wishes to you both!
About a year after that lap (spring 2002), we had all the usual testing HSG, sperm, ultrasounds, etc.... and started IUIs (because of lack of sperm). We got pregnant on the first IUI with hubbies sperm, but that pregnancy failed around the 8 week mark. That was August 2002 when I had my D&C and they did the hysterogram (whatever you call it where they look at the inside of the uterus closely).
Did 2 more IUIs with hubby and 4 with donor sperm (2003) before finally consulting an RE (most of those ran consecutive months with no time off). The RE wanted to do his own lap, so that was lap #2. It was 2 years between laps, I think. He found more endo and a fibroid on my uterus. Lasered endo, left the fibroid (it was small). That was October 2003.
Did the last IUI in January 2004 with Follistim (the one and only time to do that) and got Kathryn. The progesterone starts the morning after the IUI in the form of suppositories. My progesterone didn't stay up like he wanted it, and started shots around week 7. Shots ended at the 12 week mark and was turned back over to my regular OB to continue the pregnancy.
Kathryn was born 30 Sept 04 and was breast fed up until August 2005 when we found out we were pregnant. I guess their prediction of "you'll never be able to conceive on your own" was not true!!! We were all surprised, all my docs, everyone. Ticked off my breast surgeon, though. He doesn't like complications. Started progesterone suppositories on the day I got a positive preg test at home (called doc and went in for usual testing), then progessed to shots at 7 weeks again. Lauren was delivered at 34 weeks 20 March 06.
Just goes to show sometimes God works in mysterious ways. And sometimes docs can be wrong. Hubby was diagnosed with azoospermia (no sperm), and Lauren is definitely his child.
To Tatu1234: I was 35 before Kathryn was born, 37 when Lauren was born, you aren't running out of time, maybe you are just coming into your time! It's hard to be patient and wait (I wasn't!), but maybe you are being prepared? Looking back, I'm a much better parent now than I would have been at 30.
To sum, it was more than a year after the first lap to get pregnant (but failed probably due to a lack of progesterone), but not quite 3 months after the second lap to attain a pregnancy.
FYI....When I was in my twenties, my first OB (not the one that delivered my babies) had said I had a tilted uterus, but that was not mentioned by my second OB, so I don't know if that was still the case for me, or not. ???
Baby dust and best wishes to you both!
Hi,
I am in the same position. I have got 4 endometriomas less than 2 cm in my left ovary and a small one in my right ovary.My uterus is retroverted and I have got a small fibriod in muscle part of uterus.
I recently had IUI with puregon but it was BFN. I have been experiencing heavy bleeding and pain since then.
I don't know what consultant is going to suggest but do I have chances to conceive naturally or even if it is assisted.
I am 32 and i feel that time is running out of my hands
I am in the same position. I have got 4 endometriomas less than 2 cm in my left ovary and a small one in my right ovary.My uterus is retroverted and I have got a small fibriod in muscle part of uterus.
I recently had IUI with puregon but it was BFN. I have been experiencing heavy bleeding and pain since then.
I don't know what consultant is going to suggest but do I have chances to conceive naturally or even if it is assisted.
I am 32 and i feel that time is running out of my hands
I'm in the same boat! large endometrioma found by ultrasound, scheduled for surgeyr in 6 days! They said i will probably loose that ovary, which scares me.
lhughes: how long did you ttc after your laps, also how long after your laps did you ttc all natural? I think we are going to try a couple of months all natrual (with testing during those months - progesterone etc, since i have premenstrual spotting) then move on to other things if natural isn't successful (we have been ttc for a year). Did you use progesterone injections before you were actually pregnant or only once you got your BFP? Thanks so much and good luck sarvin!
lhughes: how long did you ttc after your laps, also how long after your laps did you ttc all natural? I think we are going to try a couple of months all natrual (with testing during those months - progesterone etc, since i have premenstrual spotting) then move on to other things if natural isn't successful (we have been ttc for a year). Did you use progesterone injections before you were actually pregnant or only once you got your BFP? Thanks so much and good luck sarvin!
I had 2 laps with removal of endo before we got pregnant...also had a fibroid on my uterus....also had a narrow left tube....also over age 35.....had 1 miscarriage....husband had primary and secondary issues
Having said all that....Kathryn was an IUI baby with Follistim injections, Lauren was completely a surprise and without any help. Had to have progesterone injections for both babies.
So, yes, it is possible to attain pregnancy after endo is removed. You might have to have a little help, but so do a lot of other folks. Find you a good RE, if you don't have one to help diagnose and determine what might work best for you.
Good luck to you!
Having said all that....Kathryn was an IUI baby with Follistim injections, Lauren was completely a surprise and without any help. Had to have progesterone injections for both babies.
So, yes, it is possible to attain pregnancy after endo is removed. You might have to have a little help, but so do a lot of other folks. Find you a good RE, if you don't have one to help diagnose and determine what might work best for you.
Good luck to you!
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