Laparoscopy this fall-who's in?

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Laparoscopy this fall-who's in?

Postby Zokica » Tue Aug 26, 2014 9:29 am

I have been reading posts in the last few days and noticed that there are quite a few of you fine ladies out there who have a laparoscopy scheduled this fall so I'm opening a new topic for all of us.

My lap is due some time in October because I still have to go through some tests. I've already had one lap, been TTC since (a year and a half), unsuccessfully :( endo is back with a vengance.

And you, what are your experinces with this operation?
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Re: Laparoscopy this fall-who's in?

Postby Ready4it » Tue Aug 26, 2014 1:11 pm

Hi there!

I am going in for a lap in a few weeks. Have been TTC for over a year. Had bloodwork done, sperm analysis done on hubs, and ultrasound to check for cysts. Everything looks great. I am looking forward to my lap as crazy as that sounds. I am hoping they can clean upy suspected endo and get a BFP very soon :)

How did your first lap go? Did you TTC after it and have problems? Good luck and I hope it all turns out well for you!
TTC since July 2013
Cycles vary from 24-28 days. No BFP's AT ALL!
Lap done 9/9/14- Stage 1 endo behind uterus and one blocked tube- but cleared after HSG.
10/22/14 First cycle after lap- BFN :(
11/17/14 Second cycle after lap- BFN
Update 2/15/15- tried femera last cycle and no luck. On 6 month after lap TTC.
Feeling hopeless
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Re: Laparoscopy this fall-who's in?

Postby Zokica » Tue Aug 26, 2014 1:51 pm

The surgery itself was a piece of cake recovery-wise. However, I had so much endo everywhere that the operation was extensive, because of it most of my ovarian reserve was destroyed.

Afterwards I TTC for over a year, not a single BFP. Now I'm an Visanne because it's back and I need another lap, this time mostly on my bowels. Endo has been a living hell for me, after this lap I'm seriously thinking of giving up and start thinking about adoption.

Ah, well. The scariest part for me is waiting for the results of medical tests, the procedures, a laparoscopy in this case, really isn't so intimidating. You fall asleep and when you wake up, it's all over :) the only thing that I remeber that was weird was the fact that I couldn't pee for 10 hours after the operation even though I really had to. Then the doctor showed up with a catheter and I magically relieved myself :)

Oh yeah, and make sure you don't eat too soon, or you might end up returning your lunch :) some people are sensitive when it comes to anaesthesia. I, for one, made sure the hospital got every serving back. Akward, but who cares, you're at the hospital anyway :)

After my lap I was up and about in a week or so, after two I was perfectly fine, although the doctor still advised me not to lift heavy things or exercise too much which I did not object to. :)
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Re: Laparoscopy this fall-who's in?

Postby Ready4it » Tue Aug 26, 2014 3:36 pm

I am so sorry :( that is rough! Did they say since you had limited ovarian reserve to try IVF? You know, I bet when you have the next lap, something will happen... just when you are about to give up, good things happen!!

Did you have any symptoms of endo before your 1st lap? I have a few things that keyed me in- such as bowel issues, but fortunately I have not suffered horrible periods like a lot of ladies.

Well, keep me posted on everything! I know for me, I have great support, but no one who truly understands all of this. So it's nice to discuss with someone who is going through the same thing.

Lots and lots of baby dust to you!!=)
TTC since July 2013
Cycles vary from 24-28 days. No BFP's AT ALL!
Lap done 9/9/14- Stage 1 endo behind uterus and one blocked tube- but cleared after HSG.
10/22/14 First cycle after lap- BFN :(
11/17/14 Second cycle after lap- BFN
Update 2/15/15- tried femera last cycle and no luck. On 6 month after lap TTC.
Feeling hopeless
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Re: Laparoscopy this fall-who's in?

Postby Zokica » Wed Aug 27, 2014 7:51 am

I absolutely agree with you, having support is great and I have immense support, my hubby is the best in the world. :) but talking with someone who's going through the same thing is priceless.

Looking back, I have had symptoms since I started puberty, mostly painful periods, and since I went off the pill all hell broke loose. Painful intercourse, spotting, ovulation pain and lately even rectal bleeding. The works.

If you have bowel issues, make sure you ask the surgeon who will operate if he/she has the skills and tools to operate on your bowel as well if endo is found on it. After my first lap, the doc told me that she couldn't operate on my bowel because that is not something that particular clinic specializes in. And after 16 months it's gotten really bad.

Since concieving naturally is out of the question for me, I will most likely do IVF after the lap and hope that I will still have a few eggs left. FYI, I'm only 31. They put me on Visanne now which will hopefully stop me from having periods for the time being.

Do you already have a date for the lap? So I know when to send you positive thoughts :)
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Re: Laparoscopy this fall-who's in?

Postby chalt14 » Sun Sep 07, 2014 8:23 pm

Hi there ladies! I entered "laparoscopy" into the seach bar and found this thread. My siggy explains my story some. I have regular cycles, temp and see a pattern, decent EWCM usually, not too much cramping during AF (except for a weird downward pressure in my vaginal area, makes me want to close my legs for relief...idk if it is from my menstrual cup though). DH's one and only SA so far was not so good (as seen in siggy). I finally went to gyno (a brand new once since we moved to a new city) a coupe of weeks ago. He surprised me by doing a vaginal ultrasound right then and there! He found that my uterus tilts to the right, he could not even find my right ovary!

Trying to make a long story short, in an effort to do only procedures covered by insurance (infertility is not covered, so no HSG) he thinks I should do a laparoscopy and a hysteroscopy. He mentioned doing the hysteroscopy on my second visit the other day since he will already have me put under. He thinks it could be endo pulling my uterus to the side, and a lap will allow him to check my tubes. He seemed to want to do the hysteroscopy as a "just in case" - check for polyps, etc. He says he does not like to dilly dally and likes to jump in and figure out what is wrong. EEK! He says any blood tests are a waste of time since I have regular cycles and seem to ovulate (when doing the ultrasound, he said my left ovary had good echos and had some fluid around uterus as a sign of O I guess).

I see that you Zocika, have obvious signs of endo, so having a lap must not have been too hard of a choice. Ready4it, your signs are not as obvious, was it a hard to decide to do it?

I do not know whether this is jumping the gun and getting unnecessary procedures or if I should be happy he is proactive!

Thanks for any words of advice, good luck this cycle ladies, it would be lovely to get a BFP before these procedures!
TTC #1 since Aug.2013 16th cycle Me: 26 normal cycles, no known problem DH: 30 some MF stuff

7/3/14 - DH's SA #1: Concentration - 8mil/ml (volume 3 ml) Motility - 36% Morphology 3%

10/6 1st RE appt. Ovaries good. Uterus leans more on the right but anteverted. DH given Naturally Smart vitamins to try for a month before a new SA 10/14 HSG - normal!

11/4 DH's 2nd SA: Concentration 32mil/ml (volume 3ml), Motility 30%, Morphology 5% We are doing IUI this cycle! 11/7 CD3 FSH 7.7 Estrogen 34. Clomid 100mg CD3-7

11/17 26.7 & 21.05mm follicles, 8.3mm lining, estrodiol 810, Pregnyl HCG trigger 8:30am. 11/18 IUI 7.2 million motile sperm post wash and 11/19 IUI 11.2 million!

11/30 BFP!! 12/4 beta 134 12/8 beta 562 progesterone 45 12/10 beta 2008 progesterone 43

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Re: Laparoscopy this fall-who's in?

Postby Zokica » Thu Sep 11, 2014 12:31 am

@Chalt14: even though I had crystal clear signs of endo, I still wish someone had told me that such an extensive surgery will most likely destroy my ovarian reserve :(

Ask your doctor if he intends to do an exploratory laparoscopy or to actually burn off endo if he finds it and take care of everything he potentially finds in there. Maybe I'm paranoid now that I know what can happen after a lap because of my situation, but I'd ask the doc about that if I were you. In my case nobody even implied that that's a possibility.

If had known what could happen, maybe I would have tried medicine for endo and later have my eggs frozen but now I'm left with almost none :(

Hopefully you'll get your BFP before everything :)
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Re: Laparoscopy this fall-who's in?

Postby chalt14 » Thu Sep 11, 2014 9:00 pm

Zokica, I am so sorry your experience was so horrific :( He did say that he would take care of anything he found when in there. He made no mention about the potential for my ovarian reserve to be effected, ugh. I am feeling worried and paranoid about it all too, I feel like he should have been willing to give me more testing to put me at ease or something!! I think I am holding off. With no obvious signs (tilted uterus does not = infertility), no other testing, and DH having low counts, I feel like it is not a good idea just yet. We will try this cycle, see what DH's urologist says about his testosterone on the 23rd, and then maybe next cycle go to an actual fertility clinic if we are still unsure. Paying out of pocket will suck though.

I really do appreciate your input Zokica! I hope the Visanne helps maintain your ovarian reserve and that IVF is successful for you the very first time!
TTC #1 since Aug.2013 16th cycle Me: 26 normal cycles, no known problem DH: 30 some MF stuff

7/3/14 - DH's SA #1: Concentration - 8mil/ml (volume 3 ml) Motility - 36% Morphology 3%

10/6 1st RE appt. Ovaries good. Uterus leans more on the right but anteverted. DH given Naturally Smart vitamins to try for a month before a new SA 10/14 HSG - normal!

11/4 DH's 2nd SA: Concentration 32mil/ml (volume 3ml), Motility 30%, Morphology 5% We are doing IUI this cycle! 11/7 CD3 FSH 7.7 Estrogen 34. Clomid 100mg CD3-7

11/17 26.7 & 21.05mm follicles, 8.3mm lining, estrodiol 810, Pregnyl HCG trigger 8:30am. 11/18 IUI 7.2 million motile sperm post wash and 11/19 IUI 11.2 million!

11/30 BFP!! 12/4 beta 134 12/8 beta 562 progesterone 45 12/10 beta 2008 progesterone 43

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Re: Laparoscopy this fall-who's in?

Postby Lulubee » Thu Sep 11, 2014 11:18 pm

Zokica - I'm so sorry your ovarian reserve got destroyed. That is awful! Do you know why that happened? Is it because they lazered the endo off? I think I've read that if they lazer/burn it off, it can damage the ovaries. I'm having a laparoscopy in two weeks and my gyn said she cuts the endo off. I might double check with her before the operation to make sure she doesn't use a lazer if that's what caused your issues.
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Re: Laparoscopy this fall-who's in?

Postby Zokica » Fri Sep 12, 2014 3:29 am

Frankly, I have no idea what tools they used. Nobody explained anything nor did I ask. I know better now. Before my next lap, I will make sure they tell me EVERYTHING.

It seems worrying how quick the doctors are to operate. Make sure you have all the information before you decide. They go on and on about how noninvasive the procedure is but...there is a cost.

Anyway, I'm about to have some tests and then another appoinment in October when they will tell me when I have my surgery. After that I'm off to IVF with a donor egg. Ah, well.
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Re: Laparoscopy this fall-who's in?

Postby Lulubee » Fri Sep 12, 2014 9:16 pm

Best of luck with your next surgery and the IVF Zokica. I hope it all goes really well for you. That is pretty bad practice that they didn't tell you anything about your procedure. It sounds like your case was handled very badly. From what I understand, damage to ovarian reserve from a lap isn't common and sounds like the procedure was done incorrectly. Totally agree that some doctors rush into these surgeries too quickly. In my case, I've had suspected endo for years now and have shocking abnormal bleeding and spotting in my luteal phase and have also had two miscarriages, so I feel in my case the lap is the right thing to do. I will double check with my specialist just how she does the surgery and what the risks to my ovarian reserve are.

I really hope you get your precious baby soon x
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Re: Laparoscopy this fall-who's in?

Postby chalt14 » Sat Sep 13, 2014 8:10 pm

It really is a eye opener Zokica, every health care decision should be made cautiously. Doctors are so used to these procedures, but every individual is different. They cut bodies open everyday, but we don't get our bodies cut open everyday. We need information and reassurance. Telling us how "simple" or "common" it is does nothing!
TTC #1 since Aug.2013 16th cycle Me: 26 normal cycles, no known problem DH: 30 some MF stuff

7/3/14 - DH's SA #1: Concentration - 8mil/ml (volume 3 ml) Motility - 36% Morphology 3%

10/6 1st RE appt. Ovaries good. Uterus leans more on the right but anteverted. DH given Naturally Smart vitamins to try for a month before a new SA 10/14 HSG - normal!

11/4 DH's 2nd SA: Concentration 32mil/ml (volume 3ml), Motility 30%, Morphology 5% We are doing IUI this cycle! 11/7 CD3 FSH 7.7 Estrogen 34. Clomid 100mg CD3-7

11/17 26.7 & 21.05mm follicles, 8.3mm lining, estrodiol 810, Pregnyl HCG trigger 8:30am. 11/18 IUI 7.2 million motile sperm post wash and 11/19 IUI 11.2 million!

11/30 BFP!! 12/4 beta 134 12/8 beta 562 progesterone 45 12/10 beta 2008 progesterone 43

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Re: Laparoscopy this fall-who's in?

Postby Zokica » Sun Sep 14, 2014 7:14 am

Hey ladies, thank you so very much for understanding :) I truely do appreciate it.

I've been a little sad and angry lately but I think it was partly due to AF which I thought wouldn't arrive as I'm currently on Visanne, but it did arrive and I was in pain. Again. This stupid endo is just annoying.

However, it is on her way back to hellville so I'm pain free again and consequently my outlook on life is positive again. Funny how that goes, right? :)

If anything, I hope my experience will make women ask their doctors about the possibility of a diminished ovarian reserve due to cyst excision.

Unfortunately, laps are still the best way to treat endo, so don't think for a second I'm advising people against it. I'm about to have my second lap, this time with a bowel resection. Oh, joy.

Best of luck to both of you! Have you had laps yet?
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Re: Laparoscopy this fall-who's in?

Postby chalt14 » Sun Sep 14, 2014 9:26 am

Zokica, yes, it is funny how our whole outlook can be changed by a pain and AF nonsense! So glad you are feeling more positive!!

I hope that your next lap (with bowel resection, eek!) goes very well and hopefully clears out enough endo to not cause you such horrific symptoms any longer! I do have you have some eggs of your own to use for IVF, but if that is not the case, may we be so very grateful for donor eggs!

I have not had a lap yet. Without obvious symptoms, I am just too reluctant! I am waiting to think on it longer, and we may just pay the big bucks to go to an actual fertility clinic together as a couple. Bleh.
TTC #1 since Aug.2013 16th cycle Me: 26 normal cycles, no known problem DH: 30 some MF stuff

7/3/14 - DH's SA #1: Concentration - 8mil/ml (volume 3 ml) Motility - 36% Morphology 3%

10/6 1st RE appt. Ovaries good. Uterus leans more on the right but anteverted. DH given Naturally Smart vitamins to try for a month before a new SA 10/14 HSG - normal!

11/4 DH's 2nd SA: Concentration 32mil/ml (volume 3ml), Motility 30%, Morphology 5% We are doing IUI this cycle! 11/7 CD3 FSH 7.7 Estrogen 34. Clomid 100mg CD3-7

11/17 26.7 & 21.05mm follicles, 8.3mm lining, estrodiol 810, Pregnyl HCG trigger 8:30am. 11/18 IUI 7.2 million motile sperm post wash and 11/19 IUI 11.2 million!

11/30 BFP!! 12/4 beta 134 12/8 beta 562 progesterone 45 12/10 beta 2008 progesterone 43

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Re: Laparoscopy this fall-who's in?

Postby Zokica » Sun Sep 14, 2014 1:43 pm

If I were you, I would definitely see a reproductive specialist before having a laparoscopy. It seems to me surgery should be the last thing you try and not the first. Like you wrote, a tilted uterus doesn't equal infertility. Getting your hormones checked is the easiest thing to do, and if you get some useful advice in the process...
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