Polycystic ovaries and endometriosis

[JPenny06]

Hi.. I had recently gone in to my ob complaining of severely heavy irregular periods since my tubal ligation last year and (after a brief scare with a false postitive pregnancy test in her office) was told I had a bacterial infection and went for an ultrasound.  Her assistant called me yesterday and told me that my results from my ultrasound showed that I had polycystic ovaries and endometriosis. Now I've never heard these terms before and after much googling have scared myself.. My next appointment is in two weeks and I am not very patient.   She told me not to worry as she laughs and says my lining is thicker than she's ever seen (didnt give me a number) and that my doc will discuss it further at my next appointment..  but of course it's all I can think about.  What should I expect? D&C? Medication? Surgery? Any advice would be very welcomed! (I also posted in the endometriosis forum but thought I might post here too)

[ticked]

PCOS I don't have a lot of knowledge on but for Endometriosis there is no way to confirm on any test that you have it. The only way is through an exploritory lap surgery. You must have an Endometrioma (blood filled cyst) which is making her believe that you have Endo which is an indicator but not a legitiment diagnoses.

What they would do is they would make three incisions one in your belly botton, and one on each side of the lower pelvic area. (You can look in my pictures to see what I mean on my profile) They would remove the Endo and  cysts and take biopsies which is normal to do, and they would put you on some sort of treatment plan. For PCOS I am not sure what meds are used but for Endo they would recommend Lupron which would put you into menopause to stop the periods from coming.

I personally will never go back on Lupron again do to the extreme side effects I had with it. I take a low dose BCP every day without a break and it works for me.However Endometriosis will grow back so you need to make sure that whoever does the surgery they do Excision (cutting out) not just laser. Someone who knows the disease and has experience is your best bet as most Gynos don't have enough knowledge of this disease and will give you false information. It is sad but it is true. I am living proof. It took 17 yrs for me to be diagnosed and it caused severe damage to my bowels, bladder and ureters. My first surgery was a success as I had the right dr operating on me. Was on the pill to suppress my periods along with bouts of various Endo meds and I just had another surgery this last feb. Minimal Endo lots of adhesions.

I don't want to scar you I just want you to be informed on the "what to expect" I will post the same info on the Endo forum as well.

[Dr Santos]

HI,
How are you?  PCOS and endometriosis  are managed depending variety of  factors such as the results of the diagnostic tests, symptoms, medical history  and initial gynecologic examination.  PCOS  management is usually directed  toward correcting the underlying cause such as anovulation, metabolic or menstrual irregularities. On the other hand, endometriosis may be managed with medications also. It is best that you discuss the result with your gynecologist for proper evaluation.  Take care and hope all is well. Do keep us posted with your follow-up.