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Old 11-07-2007, 03:45 PM   #1
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Dr says "up to me" if i get Diagnostic laparoscopy???

I don't know if I should get Diagnostic laparoscopy. It is a surgical procedure usually done for women with endometriosis (heavy, painful periods)...but the Dr doesn't know if I have it, so it is possible I could get the surgery for nothing.

My periods used to be HORRIBLE and last for two weeks but I had a procedure called a tubal ligation where (I believe) they get rid of the lining of the uterus with a laser.

So now I have little bleeding bit twice a month I have very painful feeling in a very specific area where I could have sworn I had two small cysts.

I don't want to have surgery for no reason and I hate this "your choice" business.

Right now, the only thing that helps the twice monthly pain is narcotics which the Dr. rightly advises are not a good long term solution.

Anyone have this procedure or advice?

 
Old 11-07-2007, 07:32 PM   #2
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Re: Dr says "up to me" if i get Diagnostic laparoscopy???

Well, to start with a tubal ligation is when one gets their "tubes tied" and is usually done as a laparoscopic procedure.

I've had the laparoscopic procedure done a few times and felt quite comfortable with it. The procedure in really not that invasive and if it could bring you answeres one way or the other then you might want to consider it.

If you're concerned about cysts ask for an ultrasound so you can eliminate that as a problem.

Good Luck

 
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Old 11-08-2007, 08:12 AM   #3
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Re: Dr says "up to me" if i get Diagnostic laparoscopy???

The reason he can't tell if you have it, is because the laparoscopy is the ONLY way to diagnose endo. If you have only had issues since the tubal, I would highly doubt that it's endo. If you have had pain and problems all along, I would do the laparoscopy. I do recommend however, that you only allow an endo or pelvic pain specialist do your surgery. Many women allow an regular OBGYN do their surgery. This is fine for diagnosis only, but if you do have endo, adhesions, ect., many docs cannot remove it. So they close you up and refer you for ANOTHER surgery!

If you have a specialist do the surgery, they can remove what they find in the 1st surgery, and you will avoid a second operation. I highly recommend a doctor that can excise endo. If not, again, you will have more operations. Believe me.....I have had 4 surgeries for endo. The laser operations only helped for a year, so every year I had to have another surgery! I finally got smart and found a specialist and asked for excision surgery. It has been three years since my last surgery, and I still have good pain relief.

Good luck, and let us know what you find out. I agree that you should not be on narcotics long-term. You will develop a physical dependance (after 2 months you probably already have one), which means that you will suffer withdrawal if you stop the pain meds cold turkey. Find a specialist that can diagnose and treat your pain. Every additional abdominal and pelvic surgery will cause more scarring=more pain. Get it done right the FIRST time!

Amanda

 
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