(Closed) Need help getting thoughts together – fertility/post-op

posted 7 years ago in TTC
Post # 3
Member
14495 posts
Honey Beekeeper
  • Wedding: June 2011

Are you taking these in all written down so you can take notes?  With all that is going on I would never remember all the answers.  But I am the list queen with doctors.  Even when Darling Husband goes in,  I take a list of questions.

My girlfriend had similar surgeries and I know that this is one that she asked.

Can I have a vaginal birth, or will I have to have a c-section?

Post # 5
Member
14495 posts
Honey Beekeeper
  • Wedding: June 2011

@AmeliaBedelia: I don’t think it’s nuts at all! 

I thought of a few more.

Will there be ovulation or menstral pain more than normal?

Will I be able to have a normal active pregnancy, or should we plan for bed rest?

Post # 7
Member
2538 posts
Sugar bee
  • Wedding: November 2009

This is kind of a variation of a q you already have, but “When can we start trying? i.e. is there any risk to starting now?”  “If it doesn’t happen right away, when should I start seeking drs advice?”

Post # 8
Bee
6473 posts
Bee Keeper
  • Wedding: June 2011 - Sydney, Australia

I’m not too experienced with endo – but I think this list is great. Hopefully she’ll have a few answers to other FAQ’s that she can give you info on as well.

Good luck! πŸ™‚

Post # 11
Member
14495 posts
Honey Beekeeper
  • Wedding: June 2011

@AmeliaBedelia: I know that Endo can come back, but from my experiences with friends/family, that is long after child rearing years.

How many children will it be safe to have?

What is the likelihood of hystorectomy after children and at what age?

What other complications can arise during pregnancy that you should watch for?

Post # 12
Member
6349 posts
Bee Keeper
  • Wedding: August 2014

There’s no medical reason why endo or PCOS should affect how you give birth.

I’d concentrate on things like prognosis, treatment, and fertility. Questions I’d be asking are:

Where did you find the endo? How severe was it? did you remove it? these questions are important, as the severity of endo usually dictates how much it affects fertility, as does where it is found eg endo affecting the ovaries can affect fertility. It’s also good to ask if it was all removed, and if not, why not, and if they will recommend further surgery to remove it.

When should I start TTC? (usually, surgical treament of endo improves chances of conceiving for around 6 months, so a lot of specialists advise TTC within this time frame).

Will you consider prescrbing fertility drugs like clomid? (these can boost chances and are sometimes prescribed after surgery to give you the best chance possible)

What treatment do you suugest long-term? One issue with having borh endo and PCOS is that the treatments are opposite: with endo you are aiming to stop menstruation ideally, with PCOS, you are aiming to regulate it. This can cause issues with treatment so is something to ask

Will they see you at intervals to check-up on your progress? Both endo and PCOS are chronic conditions with no cure (endo can and frequently does return after surgery, and even a hysterectomy is not a sure-fire ‘cure’) so it’s a good idea to be monitored to make sure it’s not returning, that your treatment is working, etc)

Are there any alterantive therapies I can try (diet can really help with endo, as can acupunucture, and nerve-blocking injections)? Can you refer me to someone specialising in them?

What can I do for pain-relief while TTC? (as obv you are very limited in terms of painkillers)

 

Otherwise, I can answer some of the questions you’ve listed for you:

Re birth: as I said above, there is no medical risk to either a c-section or natural delivery with endo or PCOS, and no reason to choose one over another for this reason generally speaking (exceptions would be if you get a lot of scar tissue or have skin endo (where it grows through the skin) as in these (exceptionally rare) cases endo can attach to a c-section scar and cause issues

Metformin: this is used to treat PCOS all the time and is not only for women who are TTC;   my friend was taking it to regulate her periods.

Ovulation/menstrual pain: surgical treatment of endo can see symptoms worsen for up to 6 months after surgery (so, pain, bleeding, etc). After this they should settle if the surgery has been effective, and you can expect to see an improvement for up to 5 years on average. It varies woman to woman though: my first op only improved mine for 9 months, I’ve since had another op and 16 months later I’m starting to get twinges and suspect it’s coming back. Whereas some women will see relief for 10 years

Does endo continue past childbearing years: this is difficult to answer. There is no cure for endo (beat a sharp retreat from any doctor who suggests a hyst is a cure as it isn’t; endo can and does recur even after a total hyst, and the pros and cons are extremely complicated (I can go into more detail if you’re interested)). Generally though endo will go when you reach the menopause, as most women experience their pain and symptoms around menstruation. BUT, it depends; if for example someone has very severe endo involving other organs, or sever adhesions, or issues such as endo growing through the bowel, these things an still cause issues post-menopause. I would stress though that these are severe cases, and you are unlikely to be in that situation.

 

If you want any info on endo, please let me know. I was diagnosed 3 years ago and made it my business to find out as much as possible, so I can help with most common questions/concerns.

Hope This Helps

Post # 14
Member
5572 posts
Bee Keeper
  • Wedding: June 2011

@AmeliaBedelia: I think that your list is great!!! I know that you have PCOS so this question is stemming from that since I also have it and I wish I’d asked before we started TTC…What do my hormone levels look like on a normal basis? Once we start TTC will I need to take supplements (like of progesterone for example if it’s low) to make sure that I’m able to sustain a possible pregnancy?

Good luck! Let us know how the appointment goes!! πŸ™‚

Post # 16
Member
5572 posts
Bee Keeper
  • Wedding: June 2011

@AmeliaBedelia: That’s a really good question. I would think endo but I’m not sure. You’ll have to write down all of the answers that your doc gives you and bring them back to educate the hive!

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