Laparoscopy for endometriosis



Definition

Laparoscopy is a surgical procedure in which a laparoscope, a telescope-like instrument, is inserted into the abdomen through a small incision and used to diagnose or treat various diseases. Specifically, laparoscopy may be used to diagnose and treat endometriosis, a condition in which the tissue that lines the uterus grows elsewhere in the body, usually in the abdominal cavity.


Purpose

The endometrium is the inner lining of the uterus; it is where a fertilized egg will implant during the early days of pregnancy. The endometrium normally sheds during each menstrual cycle if the egg released during ovulation has not been fertilized. Endometriosis is a condition that occurs when cells from the endometrium begin growing outside the uterus. The outlying endometrial cells respond to the hormones that control the menstrual cycle, bleeding each month the way the lining of the uterus does. This causes irritation of the surrounding tissue, leading to pain and scarring.

Endometrial growths are most commonly found on the pelvic organs, including the ovaries (the most common site), fallopian tubes, bladder, rectum, cervix, vagina, and the outer surface of the uterus. Growths are also sometimes found in other areas of the body, including the skin, lungs, brain, or surgical scars. There are numerous theories as to the cause of endometriosis; these include retrograde menstruation (movement of menstrual blood up through the fallopian tubes), movement of endometrial tissue through the blood or lymph system, or surgical transplantation (when endometriosis is found in surgical scars).

There are a number of reasons why laparoscopy is used to treat endometriosis. It is useful as both a diagnostic tool (to visualize structures in the abdominal cavity and examine them for endometrial growths) and as an operative tool (to excise or destroy endometrial growths). A patient's recovery time following laparoscopic surgery is shorter and less painful than following a traditional laparotomy (a larger surgical incision into the abdominal cavity). A disadvantage to laparoscopy is that some growths may be too large or extensive to remove with laparoscopic instruments, necessitating a laparotomy.

Demographics

Endometriosis has been estimated to affect up to 10% of women. Approximately four out of every 1,000 women are hospitalized as a result of endometriosis each year. Women ages 25–35 are most affected, with 27 being the average age at diagnosis. The incidence of endometriosis is higher among white women and among women who have a family history of the disease.


Description

The patient is given anesthesia before the procedure commences. The method of anesthesia depends on the type and duration of surgery, the patient's preference, and the recommendation of the physician. General anesthesia is most common for operative laparoscopy, while diagnostic laparoscopy is often performed under regional or local anesthesia. A catheter is inserted into the bladder to empty it of urine; this is done to minimize the risk of injury to the bladder.

A small incision is first made into the patient's abdomen in or near the belly button. A gas such as carbon dioxide is used to inflate the abdomen to allow the surgeon a better view of the surgical field. The laparoscope is a thin, lighted tube that is inserted into the abdominal cavity through the incision. Images taken by the laparoscope may be seen on a video monitor connected to the scope.

For this procedure, three or four incisions may be made in the woman's lower abdomen (A). Carbon dioxide is pumped into the abdomen to create a condition called pneumoperitoneum, which gives the surgeon more room to work (B). A laparoscope with video monitor is used to view the internal structures, while endometrial growths are removed with other tools (C). (Illustration by GGS Inc.)
For this procedure, three or four incisions may be made in the woman's lower abdomen (A). Carbon dioxide is pumped into the abdomen to create a condition called pneumoperitoneum, which gives the surgeon more room to work (B). A laparoscope with video monitor is used to view the internal structures, while endometrial growths are removed with other tools (C). (
Illustration by GGS Inc.
)

The surgeon will examine the pelvic organs for endometrial growths or adhesions (bands of scar tissue that may form after surgery or trauma). Other incisions may be made to insert additional instruments; this would allow the surgeon to better position the internal organs for viewing. To remove or destroy endometrial growths, a laser or electric current (electrocautery) may be used. Alternatively, implants may be cut away with a scalpel (surgical knife). After the procedure is completed, any incisions are closed with stitches.



Diagnosis/Preparation

Some of the symptoms of endometriosis include pelvic pain (constant or during menstruation), infertility, painful intercourse, and painful urination and/or bowel movements during menstruation. Such symptoms, however, are also exhibited by a number of other diseases. A definitive diagnosis of endometriosis may only be made by laparoscopy or laparotomy.

Prior to surgery, the patient may be asked to refrain from eating or drinking after midnight on the day of surgery. An intravenous (IV) line will be placed for administration of fluids and/or medications.


Aftercare

After the procedure is completed, the patient will usually spend several hours in the recovery room to ensure that she recovers from the anesthesia without complication. After leaving the hospital, she may experience soreness around the incision, shoulder pain from the gas used to inflate the abdomen, cramping, or constipation. Most symptoms resolve within one to three days.


Risks

Risks that are associated with laparoscopy include complications due to anesthesia, infection, injury to organs or other structures, and bleeding. There is a risk that endometriosis will reoccur or that not all of the endometrial implants will be removed with surgery.

Normal results

After laparoscopy for endometriosis, a woman should recover quickly from the surgery and experience a significant improvement in symptoms. Some studies suggest that surgical treatment of endometriosis may improve a sub-fertile woman's chance of getting pregnant.


Morbidity and mortality rates

The overall rate of risks associated with laparoscopy is approximately 1–2%, with serious complications occurring in only 0.2% of patients. The rate of reoccurrence of endometrial growths after laparoscopic surgery is approximately 19%. The mortality rate associated with laparoscopy is less than five per 100,000 cases.


Alternatives

While laparoscopy remains the definitive approach to diagnosing endometriosis, some larger endometrial growths may be located by ultrasound, a procedure that uses high-frequency sound waves to visualize structures in the human body. Ultrasound is a noninvasive technique that may detect endometriomas (cysts filled with old blood) larger than 0.4 in (1 cm).

A physician may recommend noninvasive measures to treat endometriosis before resorting to surgical treatment. Over-the-counter or prescription pain medications may be recommended to relieve pain-related symptoms. Oral contraceptives or other hormone drugs may be prescribed to suppress ovulation and menstruation. Some women seek alternative medical therapies such as acupuncture, management of diet, or herbal treatments to reduce pain.

Severe endometriosis may need to be treated by more extensive surgery. Conservative surgery consists of excision of all endometrial implants in the abdominal cavity, with or without removal of bowel that is involved by the disease. Semi-conservative surgery involves removing some of the pelvic organs; examples are hysterectomy (removal of the uterus) and oophorectomy (removal of the ovaries). Radical surgery involves removing the uterus, cervix, ovaries, and fallopian tubes (called a total hysterectomy with bilateral salpingo-oophorectomy ).

See also Laparoscopy .


Resources

periodicals

Prentice, Andrew. "Endometriosis." British Medical Journal 323 (July 14, 2001): 93–95.

Wellbery, Caroline. "Diagnosis and Treatment of Endometriosis." American Family Physician 60 (October 1, 1999): 1753–68.

organizations

American Association of Gynecologic Laparoscopists. 13021 East Florence Ave., Sante Fe Springs, CA 90670-4505. (800) 554-AAGL. http://www.aagl.com .

Endometriosis Association. 8585 North 76th Place, Milwaukee, WI 53223. (414) 355-2200. http://www.endometriosisassn.org .

other

"Endometriosis." UC Davis Health System. 2002 [cited March 22, 2003]. http://www.ucdmc.ucdavis.edu/ucdhs/health/a-z/74Endometriosis__/ .

Hurd, William W., and Janice M. Duke. "Gynecologic Laparoscopy." eMedicine. November 27, 2002 [cited March 22, 2003]. http://www.emedicine.com/med/topic3299.htm .

Kapoor, Dharmesh. "Endometriosis." eMedicine. September 17, 2002 [cited March 22, 2003]. http://www.emedicine.com/med/topic3419.htm .

"What is Endometriosis?" Endometriosis Association. 2002 [cited March 22, 2003]. http://www.endometriosisassn.org/endo.html .

Stephanie Dionne Sherk

WHO PERFORMS THE PROCEDURE AND WHERE IS IT PERFORMED?


Laparoscopy for endometriosis is performed by a surgeon or gynecologist who has been trained in laparoscopic techniques. A gynecologist is a medical doctor who has completed specialized training in the areas of women's general and reproductive health, pregnancy, labor and delivery, and prenatal testing. Laparoscopy is usually performed in a hospital on an outpatient basis.

QUESTIONS TO ASK THE DOCTOR


User Contributions:

1
jyoti gawde
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Apr 10, 2006 @ 12:00 am
Why is laparoscopic surgery recommended for my particular case
2
CHRISTAL
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Oct 2, 2008 @ 12:12 pm
HOW LONG DO YOU HAVE TO WAIT AFTER SURGERY TO TAKE A BATH? MY INCISION ARE GLUED.
3
flatulence
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Oct 8, 2008 @ 12:12 pm
i have painful cramps after surgery. It is already a month since the surgery, is this normal? the cramps goes away temporarily after flatulence. which occurs every hour or so.alos, may i know when i can lift my legs up after surgery
4
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Apr 27, 2010 @ 4:16 pm
I had laparoscopy for treating my endometriosis. After the procedure my doctor made a comment that it would have been better if the procedure was performed during or closer to my menstrual cycle. What did he mean?
5
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Jul 25, 2010 @ 12:12 pm
Here is my story:

During April 2010 I had gone for a operation, which was for the removal of the endometriosis on the uterus.Soon after I was back from theater, my Gynae told me that it had spread to the rectum which was shocking for me. He booked me in for June 2010 to have this procedure done, to my surprise as they were operating on me they had also discovered that I had Ovarian Cyst which they had removed the cyst and not the ovary.

2 weeks ago I was due for my periods and wow! the pain was 10times more than what is was before they had ever operated on me. My periods are gone but I still have these pains that was complaining about before I had the operation done. I feel like the doctors lied to me as they told me that after this operation, I shouldn't be getting any more pain. which I'm still getting.

To make things worse, this was my 5th operation which was done to me since 2008. The problem is still there and since June this year the operation is still pain very much. Walking, sitting and standing is still very much painful. Oh, since I've been back from hospital for the procedure, I've in and out of hospitals and no doctor can tell me what is happening, accept for the pain treatment they are helping me with. At one stage I was constipated (could not go to the toilet for 15 days).

I'm still suffering from this thing and I just don't know what to do!

It has made me give up on so many things including my life too.Falling pregnant has been nothing but painful for me because for 3 years there has been no luck for me.

I totally feel like my life is nothing but useless, its just full of pain and sicknesses.
6
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Sep 28, 2010 @ 10:22 pm
Judy sorry to hear about everything, keep your head high hard times do not last forever. I hope you get your little miracle you are looking for. I myself was dianoged with endometriosis, fibroid, and a enlarged uterus. I have been off birth control for 5 years and had one healthy daughter and one misscarriage. Your little miracle can happen to, there is hope!!! I know you posted that comment in july but someone needed to reply to that!!!
7
Melissa Cappella
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Nov 24, 2010 @ 3:15 pm
My name is Melissa Cappella I have suffered with Endometriosis since I was 16! I have had 4 laproscopy and DNC's and it always seemed to come back within a year! I have been blessed with 2 boys and a little girl so don't loose hope Judy! November 5 2010 I ended up in the hospital the pain was the worst it had ever been, i was very sick all day! It ended up the endometriosis was wrapped around my appendix and it was getting ready to burst! I came out of that surgery without and appendix and a partial hysterectomy! I have one ovary left and am only 29 years old! I feel the best I have ever felt in my life! I feel like a teenager again and pain free! Endometriosis is horrible and extremely painful, I felt like an old woman, I felt hopeless because I had no energy, I felt like a failure as a mother and a wife, I couldn't play with my children or be intimate with my husband without pain following. It robbed me from living for too many years! But ladies don't loose heart you don't have to suffer forever! There is hope for having a child. I too had miscarriages but God blessed me with 3 beautiful children! Stay strong and know life doesn't have to be full of pain! Find the right Doctor, I finally did! I sought many Dr opinions and most of them want to put you on pain killers and send you home! I had a Dr do that and it nearly killed me. Had my pain meds not worn off I would of never felt the pain too no something was seriously wrong!Thank God for Dr Mc Daniels who I had just started seeing not even a week before, he was awesome and gave me a new lease on life! Don't be afraid to get a second opinion, it is your life and your body!
8
fatimah shima hussain
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Jan 16, 2011 @ 2:14 pm
I wanted to know has anyone died from laparoscopy operation?
9
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Jan 23, 2011 @ 8:08 am
hi i was just wonder how long does a Laparoscopic surgery take?
10
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Feb 19, 2011 @ 9:09 am
I'm 19 and just got done having endometriosis removed but i am still having horrible cramps! They are so bad that i have to miss school, work, etc. I hate it and don't know what to do. The pain is unbearable. Any suggestions?
11
lisa
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Feb 26, 2011 @ 6:06 am
I have just undergone surgery for endometriosis,I wanted to know did anyone have normal stitches in and not glued? as i just presumed i would be glued, I will be having my stitches removed in two days and still feel really sore and swollen,Did this cause anyone more pain?
12
Nicole
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Mar 20, 2011 @ 5:05 am
I just had my first surgery done and my question is my doctor stated no sex for two weeks but what will happen if you do have sex before two weeks?
13
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Apr 6, 2011 @ 3:15 pm
I still suffer sharp pelvic pain after operative surgery to treat my right endometriosis,I had the surgery four weeks ago ,is this pain still normal?and it the pain also inreases during physical movements.I am already taking Ibropufen tablet to help the pain but still I have pain.I would like to know when I can resume full physical works?
14
Karen
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Apr 21, 2011 @ 9:09 am
Lyneve, I also have pain 4 weeks after a laparoscopy for endo. The pain I feel is like a pulling pain just under my belly button and some pain in my left side (near the cut in my left side). It's usually not too bad and I am not taking pain killers for it, but it is constantly there. Some days are worse than others. I have been back to the dr, but he can't find any problems. I have been for a couple of short walks, but I couldn't even think about running or very physical exercise yet. Sudden movements can cause stabbing pain in my left side. I don't know if this is normal. I have pain when I empty my bladder, kind of like a pinching/pulling pain. I think you had your surgery about 2 weeks before me. Are you still in pain? Has anyone else had this sort of pain this long after surgery?
15
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May 5, 2011 @ 10:10 am
i THINK THIS ARTICLE IS VERY GOOD. OWEVER i HAD LAPOROSCOY FOR ENDOMETRIOUSIS TWO WEEKS AGO BUT i HAD STILL HAVING BLOOD COMING FROM MY VAGINA .wHY IS THIS SO, i ALSO HAVE CRAMPS, HOWEVER AFTER PASSING FLATULENCE IT GOES AWAY BUT COMES BACK AGAIN. tHIRDLY THE VEIN WHICH i GOT THE INTRAVENOUS DRIP IS STILL PAINFUL, WHY IS THIS SO,
16
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Jul 27, 2011 @ 1:13 pm
Why can't you have sex for 2 weeks after having the surgery? What what would happen if you had sex before those 2 weeks were up?
17
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Sep 24, 2011 @ 5:05 am
What would happen if I play sports before I go back to see the dr? I was only sore maybe 3 days and i think I'm fine it has been 15 days. I still have my glue and stitches bc my dr is out of town until next week.
18
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Oct 14, 2011 @ 9:09 am
is endometriosis cancerous?and what is the percentage if it is curable?
19
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Nov 15, 2011 @ 12:12 pm
I had laparoscopic surgery to remove endo in July, the surgeon perforated my bowel in 2 places but failed to realise so sent me home the same night. I went back into hospital 2 days later with raging temperature and severe abdominal pain, they monitored me for a further 2 days and administered morphine for the pain. They eventually took me down to theatre on the 4th night, and removed my rectum, gave me a colostomy and put me in intensive care with peritonitis and septicaemia for 2 days. I had 10 days in hospital in total and 52 staples down the front of my tummy. I am now faced with a future with a colostomy, which as I am in my early 30's is very very hard. Right now endometriosis is the least of my worries. Think very carefully before having endo surgery!!
20
lynne
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Dec 8, 2011 @ 3:03 am
I am going in for an ultrasound next week and my doctor is fairly sure it's either endo or cysts, and has said the likelihood of fibroids for me is minimal because the pain has happened from the beginning and has been progressively getting worse.
21
jansi
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Dec 15, 2011 @ 6:06 am
what is diference between diagonal laproscopy and lesar laproscopy? 2nd time diagonal laproscopy is better or not? 1st time report is i have no prblm at all.
22
sany
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May 12, 2012 @ 2:02 am
Women with endometriosis, were you able to conceive after laparascopy without further IVF ?
regrds
sujayhospital.com
23
Cassandra
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Jun 5, 2012 @ 11:23 pm
I also just had a laparoscopy done. My 2nd! I get these attacks where usually I wake up in the middle of the night crampin sweatin n throwin up like the exorcist. I frequently have diarrhea and computing simultaneously- literally! My 1st surgery I had a lot of scar tissue and a severe pid. They kept me in the hospital for 10 days on iv antibiotics n strong pain meds. I've had pain ever since, I also have a history of ovarian cysts- my doc popped one during this surgery. He said the time I dent have that much scar tissue so I can't figure out where all the pain is coming from either! I miss a ton of work, my most current job just fired me while I was out for surgery... I haven't been able to keep health insurance either so when I can't bear it anymore I just go to ERs n the drs there are usually SO rude and don't even attempt to help bc their tests show nothing...ive hears "theres nothing we can do for u" more than any human ever should!
Here's what I do know: endometriosis DOES NOT show up on CATs, XRAYs, Blood work, ultrasound (internal incl) or urine samples. The way it is diagnosed is to find a dr that cares about ur history and listens to what you've been going through. If they are concerned enough they will schedule a diagnostic laparoscopy. I have no idea why I haven't been able to Conceive after 10 years of trying but I can assure you that the majority of women who do are able to at some point. Usually after managing the growth somehow. You really can't give up! I KNoW how hard it is! It's a difficult future to look forward to. Trying to manage a semi normal life when it feels like someone is running a weed wacker in your abdomen... I just wish it wasn't so hard for us to get help.
To Rebecca I am so sorry to hear you're goin thru that. I hope you have hired an attorney bc honestly it sounds like they made a bad situation worse! I know you can make it through this! Hopefully you have someone making your life a little easier
24
Nadia
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Jul 16, 2012 @ 8:08 am
Hi I went in for op laproscopy on the 27th of June, had all the normal pains etc but recovered, however it has been over 2 weeks now and I still have pain in my (hand) vain where they inserted the drip, is this nomal? Not just that, I also sent my gyno email as I had sex for the first time this weekend after waiting the 2weeks and had burning pain and now he thinks I might have developed Vulvodynia. Has anyone experience similiar pain after op and the vain pain?
Thanks
25
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Jul 25, 2012 @ 8:08 am
I just had my laproscopy surgery on July 5. My menstrual cycles have been irregular before the surgery. And I had cysts removed from my ovaries along with endometriosis. I have no clue when to expect my next menstrual cycle. The last one didn't end until the two days before surgery. I know my nurses said it will not be on schedule due to the surgery and them messing around in my body. Does anyone have any other information I could use? This is my first time having either cysts on the ovaries and endometriosis. I have no idea what to expect.
26
Kimberlee
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Aug 1, 2012 @ 2:14 pm
Hello, I had my first lap on July 20th. The day I got out I felt 100% better. Than on the 26th I started my period and I have had pain since then. Is this normal? I stopped on the 30th. Also, my hormones are going crazy. I have menopausal symptoms. mood swings, and hot flashes, no energy what so ever. Can anyone relate to these symptoms. Are they normal?
27
Leanne
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Aug 22, 2012 @ 9:21 pm
Hi, I just recently had the endo surgery on August 13th and ever since the surgery I have pain in my right side under by rib. It's always there but very intense and sharp when I take deep breaths, it is so painful. Nothing takes the pain away, not even meds. Has anyone ever experienced this? My doctor didn't seem to know what it could be at this point. Someone said it could be gallstones?
28
Hayley
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Sep 13, 2012 @ 5:05 am
Hi Ladies. I am saddened reading through these comments & I sympathise with each & every one of you. I have been living with symptoms of endo since I gave birth to my daughter over 9 years ago. The pain started just a few weeks after giving birth & never went away!! For the first few years I thought I was suffering from pelvic infections & water infections along with my IBS symptoms. I kept going to the docs, having examinations & my urine was tested...however nobody could find what was causing all the pain. I had a referal & this gentlemen told me to live with it, mamage the pain & maybe have another babay as apparantly that sometimes help!!! I had an operation to widen & stretch my urethra as i had scar tissue from a catheter during labour.( The nurse fitted the catheter wrong, causing damage ) I also had a laproscopy August 2008 BUT all they told me was there was some trauma & scar tissue BUT not endo!!! After that I stopped going to my docs. I thought was is the point. 4 years on I am still having the pains, painful bowel movements, tender bladder & the pain is getting worse!! After going back & seeing another Doc, she is 100% sure I have endo...I have been referred once again and she told they will want to perform another laproscopy!!! I feel exhausted with it all...I cannot put a name to these problems and feel helpless...I do not relish the thought of going through it all again, just to be told there is nothing wrong with me. It is very real & really does have a negative impact on your quality of life. I wish you all the very best of luck & I shall come back to let you know the results in a few weeks time. x X x
29
sreeja
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Sep 19, 2012 @ 9:09 am
can you say endometric laproscopy is painfull? and how it do
30
april
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Sep 30, 2012 @ 7:07 am
Leanne I just had the lap on the 25th that night went to er because of the pain under my right rib cage was so painful they told me it was from the surgery where they have to blow your abdomen up so they can get in there hope the pain will go away soon good luck
31
sanja
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Apr 25, 2013 @ 5:05 am
I had laparoscopy for endometriosis. Stage 4 done in june of 2011. I think it came back and due to marital problems I wasn't able to get pregnant...I would like to know if having another surgery to remove endometriosis is ok?
32
Amber
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Apr 30, 2013 @ 5:17 pm
Hi ladies... Although these comments worry me some bc it seems like the majority of you have had bad experiences with the surgery I am also relieved to hear that Im not crazy. After my 2nd baby I had these pains that just kept getting worse and worse with my period and I have always had horrible cramping with my period everyone just thought I was being a baby except my mother. Anyways then it started getting worse and more often then just at my period. After 2 yrs of back and forth to the drs and being told that it was in my head. Or they just didnt know even though they hadnt done any testing I finally saw a dr who said that it was endo. Now its been three years the pain is every day and I feel like Im horrible and lazy a terrible mother and wife. I used to be so social and love getting out and doing things and now I feel like a hermit. I thought it was depression and saw a therapist I have even wondered if maybe I just want medicine. But I after some soul searching and a good family to help I started to realize that it wasnt in my head I wasnt making it up and it really does hurt. But seeing some of your posts about having no energy and feeling like a failure gave me hope. I know that sounds bad and I dont meant that Im glad you are suffering its just reassuring to know that its not just me and Im not being a baby or just bemoaning my fate. Now a doctor said she could either send me into menopause (chemically) or do surgery. Menopause scares me very badly so after talking with my family we decided surgery. But now IM hearing so much awful stuff about the surgery that Im terrified. Its happening in one week. ladies with this experience will you please contact me so I dont feel so nervous and maybe a little more informed... You can email me at jesus_follower4eva@yahoo.com or find me on facebook. Amber Winkle-Weiss
33
Stacey
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May 31, 2013 @ 9:21 pm
Hi, after reading all your comments I'm in two minds as to weather or not I should get my endo removed... I have had four unsuccessful cycles of IVF due to having bad quality eggs from the endo. I'm only 32 and I have know that I have had endo for four years. I went and saw a specialist yesterday who was for and against having it removed. I only have endo in my uterus and have had the endo in my small bowel removed. The specialist said it was my decision to have it removed or not. I don't suffer any pain except when I have my period, it is really bad for the first 3 days and then it stops. I have had a laparoscopy before for a bowel problem, the only pain I had was gas pain which was under my ribs and in my stomach because they feel you up with air. AMBER I would love to hear how you went... has anyone had any positive experiences??? does it improve fertility??? Thanks
34
Gen
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Jun 18, 2013 @ 4:16 pm
I had a Lap done almost 3 weeks ago. The Dr said I have severe Endo and was able to remove all from my left ovary. He said the surgery was so invasive and I won't make it to 40 without a Hysterectomy. BUT he said my chances of conceiving another child is now 2/3.
The pain was so bad and now starting last night my belly button is so sore! I can barely walk. Before all the pain was inside from them burning the endo away, but now its my incisions! Im cramping and very sore.
Does anyone know anything about this, or had a similiar experience?
I have been through hell and back trying to have this second baby and I know it will be worth it, but Im in so much pain I just want my old life back :(

Also if anyone knows any Endo support groups that are good, that would be so much help. No one I know has gone through any infertility so it's hard to be open.

Thank you! :)
35
liv
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Aug 9, 2013 @ 2:14 pm
Hi girls,

My experience with surgery has not been a bad one and my endo damage was extensive. My Dr removed my left ovary and tube, a bunch of cysts and had to clean out damage done to my ab wall and adhesions on my liver. It has been a month and I still have some pain on the left side but my Dr told me to expect that for awhile especially as I increase my daily activities. The good news is I went from a zero percent chance of having children to a 50% chance. The surgery is worth it, I think you just need a Dr who knows what he's dealing with. My Dr specializes in high risk and infertility. Lots of love and prayers to you all as we deal with the damaging crap that endo brings!!
36
Victoria
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Aug 20, 2013 @ 8:20 pm
I had a laparoscopy on Dec. 27th and have never been the same since. I struggled to even get a dr to listen to me, and when I finally found one who did I was pretty much miserable. Since getting the surgery and officially diagnosed, I have been in so much pain. They had inserted a Mirena IUD two months before the surgery and chose to leave it in since. I recovered well post op, but now my cramps are so bad that they interfere with every aspect of my life. Now almost 8months out, I am in pain at least 3 weeks out of the month and can barely stand it anymore. Bowel movements are painful and it doesn't get better after. I have never had pain with bowel movements before the surgery and my menstrual pains are definitely worse. I feel like this should have gotten better by now. The pain is intense and sharp and worse with movement. It literally takes my breath away at times. It's in my lower right side and back, but extends across my entire abdomen, pelvis and rectal area at times in a very intense pain. I feel like I will never be pain free. Does anyone have any advice? I'm just exhausted and feel like and old woman. I'm in my early 20's but I've never been able to enjoy it, because I am always in pain. I mean 8months after surgery can't be normal to still feel so bad is it?
37
rachael
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Nov 19, 2013 @ 5:05 am
I had my 3rd laparoscopy 30th October 2013. I am currently still off from work. This laparoscopy has really knocked me. I had severe endo removed and was lucky not to have a laparotomy according to the Consultant. I'm still experiencing significant pain to the Left side, and my bowel movements are horrendous. Has anybody else experienced this please. I just want to get back to normal and return to work
38
sharon
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Jan 10, 2014 @ 6:18 pm
Does anyone know how soon after endometriosis laparoscopy and D & C surgery . Do you start menopause?
39
becca
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Feb 19, 2014 @ 9:21 pm
I'm 18 now, but when I was 15 I had an ovarian cyst that wrapped around my ovary and cut of circulation. I didn't even know until I was I'm screaming pain and was passing out on the way to the ER. They had to give major pain meds. The ultra sound and Kat scan showed nothing so they decided to scope me. When they were scoping me they found my dead ovary, swelled up to the size of a golf ball, a cyst the size of a tennis ball and my flopian into the size of a cantaloupe. I now have just one ovary, peliv pain and I get lots of charlie horses. I
40
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Jun 12, 2014 @ 3:15 pm
My daughter had laparoscopic exploratory surgery. Five days later (No sex during those days) she is pregnant. The blood test before the surgery was negative for pregnancy. What, if any, are dangers to the fetus? Thank you, Kat
41
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Nov 8, 2014 @ 9:21 pm
Hi, Amazing reading everyone's story. I have had a history of endo. since I was a teenager however I was not diagnosed until I was 26.

I saw a Dr to have my first laparoscopy to remove cervical cancer cells stage 2 and when I woke up the Dr had done the initial removal only to be told he also cleaned up my left ovary for endo. he then told me now only my right ovary was functional. 2 years later I fell pregnant.

I am now 47 and I eventually had 3 babies however at 37 I had a hysterectomy without the removal of my ovaries and a prolapse and vaginal repair. 10 years on all is going really well and suddenly pain again...

Discovery that I have one enlarged ovary, severe pain attacks during intercourse, tenderness all in the lower back and abdomen region. Here we go again. I had another laparoscopy 3 weeks ago, (4th one) and discovered there was lots of fusion with my organs, lower back and the endo. Everything is stuck, hence the constant pain. Dr has now cut it free, however my ovaries are also stuck. No work was done on the ovaries at this stage, back to the Dr's in 3 weeks. The pain from the area of this last of surgery is constant, feeling like an old lady, cannot move much, limited by activity, tired, it gets you down.
Has anyone felt like this and then felt like it gets better?
Can someone please give me some positive insight?
42
Christy
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Jan 17, 2015 @ 9:21 pm
Hi my name is Christy.I'm trying to find a surgeon to take care of my endometrios I've been in bad pain for a year now but it's gotten worse with clots.I bleed for 5 weeks straight with clots bigger than a quarter and the pain was worse than child birth.I'm in pain now. But can't seem to get out of bed.
43
Kalie
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Jan 17, 2015 @ 9:21 pm
Hi i had this procedure done due to an iud(Mariana) geting stuck in the lining of my uterus and causeing a really bad infection. I had this done a week ago and just happen to still be bleeding really bad, worse then my period amd just wondered if its normal or if i should be worried?!
44
Kit
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Jan 28, 2015 @ 3:03 am
HI Ladies,

I have been diagnosed with severe endo, it is on my organs. The 1st laproscopy operation was unsuccesful as the endo was too severe for the doctor (he is a fertility specialist) to operate. I am currently on Zoladex to put me through early menopause to try reduce the endo. The Zoladex is terrible I have hardly slept at all for the last 2 months as I was awake up every hour or so dripping in sweat. The doctor is operating again at the end of next month, but is flying another doctor in to help with the operation due to how severe it is. I am currently in a long term relationship of 3.5years and will hopefully be engaged in the next few months. We will only be able to get married next year sometime and then only will we be able to try have children. We are both desperate to have children. Will I be able to fall pregnant and is the best time to try straight after the operation or not. I am currently 29 years old. I would appreciate any feedback at the moment.
45
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Mar 26, 2015 @ 5:17 pm
I had surgery for endometriosis n had my left ovary n fallopian tube removed. I had sex 10 days after my surgery, its now 15 days later n I am feeling sick. Anyone knows if I might be pregnant?
46
Laquana
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Aug 24, 2015 @ 10:22 pm
Hey ladies, as I lay here reading all the stories I definitely feel your pain. I think I started suffering with bad cramps during high school but really didn't think noting of it but just bad cramps. The older I got the worst the cramps got. It became so bad during my period that I started missing days from work. it started effecting my bowel movement,my legs and my lower back I thought I was going to die. I would never want to wish this on my enemy. Finally in 2005 my doctor decided to do the laparoscopy surgery, and that's when I found out that I had endometriosis. The surgery was a success! Right after I decided to get on Lupron for a couple of months and then I started taking birth controls it did help, and was on it for 5 years. I wish I never got to off birth controls but I wanted a child so that's why I came off. Now its so hard for me to have a child and I don't have any children at the age of 37. Now I believe its affecting my right rib cage and next. I'm thinking of having another surgery. I pray to God in the near future that I will be able to have my first child. Having endometriosis makes me sad I just want my life back with a normal period and be able to have a child. 😢😢
47
Lynn Adonis
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Nov 4, 2015 @ 11:11 am
My daughter suffered on 2 occasions with sharp pains Dr's can't figure out what it is until it happens,again. Could it be Endometriosis?
48
Elisha McFadden
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Dec 22, 2015 @ 11:11 am
I just had my gallbladder removed 8 days ago and during that procedure the surgeon seen I had endometriosis and surgery is required but how long should I wait to be cut again in same spots. Laparoscopy
49
Corrina
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May 31, 2016 @ 3:15 pm
Hi I had surgery five days ago my surgeon said it was a lot worse than they thought it was in my tubes cervix attached to my bowel and ovaries I had to have my ovaries stitched back as I want to try for a baby ..I was just wondering how long it takes to recovery I keep getting bad pains on my right side where my drain was and I still haven't been able to open my bowels can any one tell me if this is normal please xx
50
Gaby
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Jun 21, 2016 @ 11:23 pm
Hello ladies, I had my first laparoscopic surgery three weeks ago. I didn't have any symptoms, I found out I had endometriosis because I did an ultrasound of my ovaries (I did this just because my sister insisted in getting our ovaries check). My recovery was really painful I felt my body was so tense and hard (near the belly) and my arm was hurting so much, they say its because of the gas they use. But the pain was gone a week after the surgery. Now I'm on a treatment with visanne. I just want to wish good luck to all of you :)
51
callan Kirby
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Aug 11, 2016 @ 3:03 am
hello ladies. i had my laporoscopy done 2013 ...had endo stage 4... and kissing ovaries. Op was successful. Gave birth to beautiful baby Boy 2015. But now im experiencing bleeding and pains constantly. Family planning injections not helping as i am on it. Anyone experiencing this.
52
Babes
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Aug 25, 2016 @ 1:01 am
I have a sharp pain in my abdominal it comes to my left under myrib also down left leg, severe period pains with clots,sweating at night , sore breasts, could this be endo? I've booked for lap soon
53
laura
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Sep 8, 2016 @ 7:19 pm
To every woman its always a joy that after marriage the next should be holding her child, I did gave birth to mine but after 4 months I lost her and since then I have not been able to conceive again for the past 7 years after I lost my child. I have been to so many hospitals and I have done series of tests. Though I have a very supporting and understanding husband but I was always thinking about it. It became my major problem every time I see children calling their mommy .i was willing to do any thing and willing to pay any price at all just to have a child of mine own. So one day I came across a post of this man and how he has been helping people of the same problem, I told my husband about it and he said will should give him a try and this is the last, I immediately contacted him on the address I found on the net and I got to he. I told him all that I have been facing and if there is any solution to mine to my greatest surprise he told me to calm down that I was going to have a child soon I did not believe it. He told me that he was going to send me medicine which he did and advice that I should meet with my husband which I did. After some weeks I was feeling really weak I told my husband about it. The next morning I went for a check up after the test I was told by my doctor that I am pregnant I could not believe it I was happy in side but I could not control it so I have to show it out with a tears. Am so happy now because he has restore my life and my home. if you are reading this comment and you have the same problem or you know any one of the same problem please contact him. Here are his contacts drwafesolutioncenter@gmail.com or call/whatsapp him on +2348158836717
54
Katie
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Sep 14, 2016 @ 11:23 pm
Hi I just had a operation on Tuesday but they didn't find anything but I'm still getting pain on lower right side
55
Ciaraa
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Nov 27, 2016 @ 5:17 pm
Hello. I recently had surgery for endo on Sept. 20th. My date was Nov 10th but it was rushed because I had gotten into a car accident Sept 2nd and because nothing the doctors were putting me on was able to stop the bleeding. I was constantly bleeding for a month and a half before the surgery. Post op, the healing wasn't very quick for me and it's now been 2 months and I am still in constant pain. About 4 weeks ago I had my first period and after I put my nuva ring in as I always had before and a week went by, I was fine. But 2 weeks ago I started bleeding again and it won't stop. Again. Does anyone else have issues with bleeding ? None of my doctors can figure out why. I am back on Norethindrone which is supposed to help but it's not. I was put on other meds and those didn't help either. I'm in constant pain, my body feels weak and so drained all the time. I can't preform at work, I'm being sent home, constantly in the er and doctors. Sex with my boyfriend doesn't hurt necessarily but it just ends up being a pool of blood and just makes me very embarrassed and grossed out. He's very caring and helps clean up and always washes the blankets if I have an accident but it's just so much now it's making me feel super depressed and gross. I'm very worried at this point and it's stressing me out so much. I'm only 21..Its been super discouraging not being able to do everything I'm used to like work, cleaning or even just not being in pain on a daily basis. If anyone knows of anything or had similar problems what helped or what stopped it ? Anything will be useful at this point. /:

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