Pre-lap medical treatment

[Lindle]

ESHRE guidance on pre-lap medical treatment.

There is no evidence of benefit on surgical outcome so medical treatment should be for pain only and the patient's choice. Some surgeons like you to be on GnRH agonists (eg zoladex) to make surgery easier; others like to see inflammation and endo in all its glory. But there is no evidence either way so don't be pressured into having GnRH agonists prior to surgery against your will. A surgeon certainty can't refuse surgery unless you consent to this.

The combined pill should be stopped 4 weeks prior to surgery (NICE); progestins can continue.

[CryBaby91]

This is really good info. I'm on Gonapeptyl at the moment and i feel conflicted about continuing to be honest. I'm still having pain, just not as severe, and the other side effects are awful. The nausea is horrific, the headaches are crippling, the fatigue is way worse, and the affects on my mental health are not very manageable. I'm determined not to end up on antidepressants again, i managed to cope with going through the trauma of court (as a victim) without taking antidepressants. So I'll be so angry if this medication ruins all the hard work ive put in this last few years to get off them and have a more natural approach to my mental health. My doctors are great and have told me it is 100% my choice, but it doesn't feel like a choice when they said that the injections will reduce the chance of the endo growing back feels like a double edge sword! Xxx

[Curious123]

Sadly one UK surgeon I saw basically refused to do a second stage surgery if required without a period of down regulation with Zoladex. Their nurse even confirmed the booking team wouldn’t even put me on the wait list without the first Zoladex implant having been administered.

Suffice to say I took my care elsewhere but sorry for those who don’t know and spend a long wait list under this persons care to then have no choice.