Lap and Dye Follow Up

[Pip89]

Morning all ☺️ I finally have my follow up appointment from my Lap and Dye (6 weeks ago) this week...

after my op, the surgeon didn’t come and see me and the nurse said she couldn’t really read the surgeons writing so didn’t want to give me any incorrect information... she made out the word ‘endometriosis’ and I know already I’ve got polycystic ovaries...

my partner also has a low sperm count with low results regarding direction etc. But we’re also due to find out his results from his third sample at the appointment too...

Can anybody give m any pointers as to what I need to ask? At my prep appointment the surgeon told me that well either be put on Clomid for 6 months or straight to IVF. My acupuncturist advises I should push for IVF as various factors are affecting us but I fully understand that the gynae is likely to suggest Clomid first...

sorry for the lengthly post but any advice would be really helpful as ive spent the last 6 weeks thinking ‘what if...’

thanks xxx

[emmab178]

It’s probably going to depend on where the endo is. If it’s blocked your tubes surely it’s straight to ivf.

I’d be a little cautious with general gynae and endo, it’s a specialist field and they seem to think they are experts. I’d ask what grade they think it is and if it’s effecting any other organs like urinary or bowel.

[Pip89 in reply to emmab178]

Thanks Emma, how does the endo grading system work?

To be confirmed at the appointment, but for the last 9 years I’ve been fighting for the endo diagnosis the pain I have bi-monthly (ovulation and period) tends to be apparent in my shoulder which is suggesting the endo could be affecting my diaphragm... Unusual apparently, but it could be elsewhere also...

[emmab178 in reply to Pip89]

I’m not an expert but found I had endo after they found a 7cm mass encompassing left ovary and tube last year.

My right ovary is stuck to the uterus ligament and possibly bowel stuck to uterus. All probably due to endo. It’s all up around my ureter and I have a mass left over from the general gynae not completely removing it during my lap.

I think when it effects other organs or pouch of Douglas it grades to severe and level 3 or 4. It’s important as if it’s severe the nhs treatment pathway is to have you seen at a bgse centre not just a general gynae. This can be done separate from the fertility process. I personally think if you get a good bgse person then they can be a better resource for endo than the fertility drs.

There’s a good FB group, endorevisited uk support and education. It has lots of information on what questions to ask at various appointments, treatment pathways (because gps don’t always know) and you can name drs and ask for people’s opinions.

[Nickimidge]

Good luck with your follow up appointment hun! Hooe you get all the answers you want. I’ve got to wait until 15th december for mine. I’ll be thinking of you, let me know how you get on!!! X