Most recent laparoscopy came back negativ... - Endometriosis UK

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Most recent laparoscopy came back negative, feel so invalidated and down, please help

rach3110 profile image
8 Replies

Hello all, I'm quite late to the party but after my most recent laparoscopy yesterday, I feel very deflated and invalidated. I'm sorry for the long post but here is my story so far...

From age 15 (I'm 32 now) I had terrible period pain, to the point I was bedridden some days and missing school, which only got worse as I was older and began working full time. I went on the pill at 15, to try to help control the bleeding, but after various different contraceptive pills, I was referred to gynaecology and had the Mirena coil fitted at age 18 and also sent to a psychologist because I was told the pain was in my head.

Fast forward 3 years and multiple doctors appointments later, a complaint to the gynaecology department for constantly fobbing me off with pain relief or hormonal injections, the coil taken out as it was no longer agreeing with me, I finally got the laparoscopy that confirmed I had endometriosis. Now, I didn't have a lot of it, they cauterised what was there but they did leave a small amount that was around my bladder as they didn't want to cause more damage (they are not endo specialists at this hospital). I then started Zoladex injections and was on them for 6 months on, 6 months off for 2 years.

After another 4 years of varying medication, pain relief such as cocodomol, tramadol, physio, acupuncture, herbal remedies etc, I underwent another laparoscopy and they found and cauterised more endo. Happy days, I felt OK for a little while, and then in 2018 I fell pregnant with my daughter (whilst on the Decapeptyl injections 🙈). For around 8 months after having her I had no endo symptoms (I had the implant put in), then in early 2020 it came back with a vengeance, so we restarted the Decapeptyl injections which helped the bleeding but did barely anything to stop the pain. After 18 months I stopped them after a discussion with my doctor to let my body have a break to see if things settled and if my periods returned, which they did not, but for a year I just grinned and bared it and coped on over the counter medication.

At this point I'm juggling a full time job, a toddler, studying to be a veterinary nurse and got married - I had no time to be unwell, so grinning and baring it was the only option to me.

January 2024, I began to feel very bloated and had little appetite. I was peeing more frequently, no energy, and all my pelvic pain was worse than normal, spread down my legs and back. I just thought it was another flare up, so went to my usual trusty heat pads, pain relief, asked for stronger pain meds from the doctors etc. I hadn't bled for 7 months at this point, apart from random spotting. However after 3 weeks the bloating was worse, and I had been in pain every day - it wasn't fluctuating like it normally did, and it felt totally different to normal endo pain. My back pain was also becoming a real problem and between that and the pelvic pain it was really difficult to do my job well, or lift my daughter or walk my dogs. I made a GP appointment and had the Ca125 blood test, which was normal, and we began a food trial too to see if it helped the bloating (spoiler - it didn't).

After a bit of to and froing I got referred to physio for my back, and an ultrasound for my pelvis. I had a bit of pelvic congestion, and a cyst on the ovary, so nothing too much to be concerned about and was booked to be rescanned in 3 months. In the meantime my uterus was beginning to feel like it was going to fall out, I went from walking 4 miles easily with my dogs to barely making it round the small village we live in. I was in agony, so was given tramadol to tide me over til my next scan, and physio decided that my back pain was linked to the pelvic pain so signed me off without doing any imaging.

I finally had my appointment with the gynaecologist and after a lot of pushing on my part, I was allowed to proceed with a laparoscopy (7 years after my last one).

Next scan in June showed another larger cyst, which was a suspected endometrioma, and I was certain that when they did the surgery the cyst would come out, I would have endo cauterised, and to be honest I kind of expected my pelvis to be in a bit of a mess because of the way the ultrasonographer had made it out to be. I was confident after this op I would feel better. Not meant to be, unfortunately.

I got a cancellation appointment for yesterday, and the day I got the appointment (8th July) I began to bleed. I didn't think much of it, but it turned into what I thought was an actual period. I was in A LOT of pain, struggled to work but powered on, thinking oh my period is just returning, but it's OK I have surgery on Monday so this is good timing. Well, I had my damn surgery and they found nothing. Nada. My cyst had gone, suspected rupture apparently which is why I probably felt worse and was bleeding in his opinion. No endo to cauterise this time. No other reason for this daily, debilitating pain for the last 7 months and also no real options going forward apart from restarting the Decapeptyl injections along with HRT and just pain management again with possible referral to physiotherapy for pelvic exercises. He doesn't know what's causing my pain, and once again I was made to feel like it was all in my head, just like when I was medically gaslit 15 years ago.

I'm sorry for the rant, but I don't know who to talk to, I don't know what to do next and I feel so down about it all. Any help would be much appreciated.

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8 Replies
Tangoandmax profile image
Tangoandmax

Hi, I’m sorry, I don’t actually know how to help in this instance but I just wanted to say this is literally everyone’s worst nightmare 🤍 was the latest surgery with a specialist, could it be worth getting a second opinion?

rach3110 profile image
rach3110 in reply toTangoandmax

Hello, it wasn't with a specialist unfortunately, I am considering booking an appointment with one though to see about a second opinion

Tangoandmax profile image
Tangoandmax in reply torach3110

Absolutely worth doing. Finding the right specialist/consultant is like finding a needle in a haystack. I think there’s a FB group who share the details of recommended specialists; I’m not on Facebook but someone might see this and share. I recently paid for a private consult with a BSGE Specialist who was a waste of time, it’s worth getting peoples recommendations for any in your area. Good luck xx

JOSANDY40 profile image
JOSANDY40

Dear Rach3110, Yes sorry. Its all the same stuff.

Unfortunately as you get older the problems will continue. Even when Endo has hidden itself. The damage to organs, General inflammation and all sorts of pain coming and going. Zoladex is a good maintenance drug. All drugs bring there own issues of possible effects or damage as ai found with Danol (steriod), causing finally Pancreatitis. The Zoladex great as a 2 yr then gap then the same, but unfortunately I was on it 10yrs solid, brain issues and coming off it tood 2yrs to feel myself again.

Endometriosis is a werid disease, often the person has other or possible other autoimmune illnesses. Over the years, extra sensitively to food and medicines where the body either under reacts or over reacts. Histamines issues, intolerance to foods like Gluten and Lactose, General poor bladder and bowel behaviours, my all above for me and my lungs sometimes inflammation or fluid, Back pain, groin and upper leg pain and difficulty in walking sometimes.

There is no sign of my symptoms going.

Yes we rant, why not? We definitely deserve better!

x

rach3110 profile image
rach3110 in reply toJOSANDY40

I'm so sorry to hear you have been going through all of this. It's certainly not a fun condition to have, and as you say it comes with a lot of baggage! Thank you, I will speak to the GP and see about going back on the Zoladex injections to hopefully keep some of the symptoms at bay x

HT267 profile image
HT267

Hey Rach3110, your story is so similar to all of ours those years of dismissal leave their mark so I'm not surprised this was a triggering experience for you. I was just wondering coukd it be adenomyosis? I have both conditions and after my 1st endo surgery I still had some symptoms that didn't improve and that's when they said one side of my uterus was bulky and that they said if was adenomysis (they can't 100% diagnose unless they remove uterus) I'm not sure if it would change the treatment you have bit might be worth asking about xx

rach3110 profile image
rach3110 in reply toHT267

Thank you for your reply, yes I also wondered this too as they just kept mentioning about "thickening" and looking back I really should have questioned it more, they just finished the conversation with that they were sorry no endometriosis was found this time and that their suggestion was to go back on to the Zoladex or Decapeptyl injections to aid with symptoms and pelvic physiotherapy. I guess I was just a bit upset to question it further, but I think I will request a copy of the photos and report and try to book an appointment with a specialist for a consultation and see what their views would be xx

Amanda05 profile image
Amanda05

The only suggestion I have is could it be Adenomyosis?

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