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Old 05-13-2009, 10:27 AM   #1
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Nomvula HB User
adenomyosis and fertility: should I have surgery?

I'm 37 years old, never been pregnant, was diagnosed 3 years ago with endometriosis, stage III-IV, had laparotomy in 2006 for this, and also to remove large fibroid.
Have now been told by a new gynae that I have extensive adenomyosis (diagnosed by ultrasound); he recommends surgical resection to remove affected part of uterus, then reconstruction of uterine wall. I want to have a baby (soon!!) but am not sure whether this surgery (and the underlying adenomyosis) will make that impossible. My gynae says pregnancy is still possible post-surgery but I have been reading conflicting opinions and accounts on the web. Confused. Has anyone out there had a similar experience? Are there alternatives to surgery that will keep my uterus intact but deal with the adenomyosis so that conception can still occur?

Would appreciate any input or suggestions,
Nomvula

 
Old 05-13-2009, 10:49 AM   #2
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Re: adenomyosis and fertility: should I have surgery?

Nomvula,

Seek out a fertility specialist and inquire as to the complications of having such surgery. You can also seek out a high risk ob/gyn doctor and schedule a consult appointment. Make sure that you bring all of your records, previous surgery notes, ultasound reports and office notes to these appointments. These doctors should be able to assist you in the pro and cons of such a procedure.
You can also inquire with your present doctor if there is any possiblility of doing a laser procedure to burn off the offending material. You can also get a second and even third opinion as to what other alternatives may be available to you.

 
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