Gyno protocol for referral

[Lana_M080]

Hi all,

Does anyone know what the protocol is for when a Gyno does a lap and finds retrovaginal / uterosacral endo? Should they try to excise or leave it and refer you to a specialist/centre?

Also if your symptoms persist after the lap should they refer you over to a specialist/centre?

X

[Lana_M080]

Thanks Lindle. I had my first lap by a NHS Gyno but privately (I had no idea how the system worked and GP or Gyno told me of all these options). I moved over to Oxford recently and had my second lap. Second lap showed extensive wide spread endo (only 18mths after original lap) and in the same places this had been excised from previously. Plus retovaginal spec which was not picked up in first lap? Or specified - he just states behind the uterus...

The uterus itself has become retroverted, retroflex and dropped down into the scaro hollow since my first lap (I have do not have children) so - I believe this is due to weakening of the uterosacral ligament.

I am trying to figure out if this original surgeon should have operated on the ligament at all? Even privately...?

Unfortunately he also missed Adenomyosis ... Which new specialist picked up of his lap picture. All in all I have 4 letters from this Gyno telling me endo has been completely excised, my uterus is healthy and in a good position and that my pain is non-Gyno related and to look somewhere else.

X