Could I take a fertility treatment? If the aswer is affirmative Which do you advice taking? Considering I was trying to get pregnant by naturally: one year before surgery and one year after surgery I am 32, one year ago, I had a laparotomy with partial Oophorectomy, obviously It was incomplete, I went to surggery without a specific diagnosis by endo mapping, just a generical ultrasound with endometrioma in left ovarian Currently, I have retroverted uterus , 50% of my left ovary, 100% of my right and left tube but obstructed, 100% of my right ovary and a00% of whole the rest female reproductive organs. Also I have adhesions and nodules, with rectum (0.94 in nodule ) and left uterosacral ligaments (0.55 in nodule), Aditionally endometrioma on left ovary appear again with 1,18 inches in diameter and 2 others behind with 0.3 inches in diameter each . CA-125 80 U/mL (ref 0-35) CEA within the references Prolactine 34 ng/mL (ref 4.79-23.3) AMH 0.6 ng/mL (ref 0.51-6.72) Complete hematology within the references values except Monocites with 0.13 x10e3/uL (ref 0.24-0.79) TSH, free t4, creatinine, cholesterol measures, triglicerids within the references I would appreciate your response, coments and suggestions. have a good day blessings
Endometriosis
Top Endometriosis Specialist Florida: Your Path to Pain-Free Living
Endometriosis affects approximately 10% of women in Florida, impacting their daily lives and overall well-being. This chronic condition, characterized by the growth of uterine-like tissue
March 17, 2025
In general, if you have one normal tube then I recommend a laparoscopy with ovarian cystectomy for the endometrioma, excision of all additional endometriosis, salpingectomy for the blocked and/or dilated tube, as well as a diagnostic hysteroscopy to make sure the uterine cavity is normal. It is important that these surgeries be done by a endometriosis excision expert, because we know that we are able to minimize damage to the ovary while removing the endometrioma cyst (by carefully stripping out the cyst wall without removing normal ovarian tissue, and sewing the ovary closed as opposed to applying cautery to stop bleeding). We know that excision of the endometrioma cyst wall, as opposed to drainage and ablation of the cyst wall results in significantly higher pregnancy rates afterwards. After surgery, I typically tell patients to try and get pregnant naturally for 6 months, and if not pregnant, then see a fertility specialist for potential IVF. However, in order to give you personalized medical advice, I would need to take your whole health history including what symptoms you are having, review imaging, and do an exam, so it is important to consult with your doctor for individualized recommendations.
Thank you for your recommendation Doctor,
I am the girl who made thisquestion,
On the other hand, I have heard that some gynecologists practice IVF if the patient wants to get pregnant immediately, they argue that the ESHRE suggests this practice since after surgery the recovery time affects ovarian function and makes it difficult to get pregnant even after this period, also Initially in the first consultation with the doctor he told me that it was proven that getting pregnant with endometiomas does not mean risk since it does not spill and also has no possibility of miscarriage.
What would you say about this argument doctor?
I have researched about this argument but I have not found anything because I am not a Doctor, I just want to know what is the best option.
I would appreciate your opinion
What arguments and resources (research and protocols) could I refute with when I will hear thsi argumentsagain, in case you disagree with these claims?
Consider that my location is South América