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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Right Treatment For Endometriosis?

Shocking, not! I use to think that people chose to become a doctor because they had a passion for helping and improving a patient s overall quality of life and sometimes saving their life all together. It is obvious this is no longer the case for the majority of physicians today. It has taken me a long time to truly believe that this is the case. My disillusionment of physicians started after my EX obgyn performed 5 laparoscopies over a 10 month period for endometriosis. The endometriosis did cause intense pain. His treatment included several laparoscopies and narcotic pain medications for the pain. I did not want to taked t When he informed me at my last appointment with him that I needed to have the procedure again, I left the office. my husband and i had put all trust in him but this seemed way too excessive and we felt we needed a second opinion. Having endometriosis can hinder one from having a child. we were fortunate to have our son who was 3 at this time. we wanted to have more children but we felt my health needed to improve before having another baby. I weighed 82 pounds, had no energy, and was very pale and anemic. so much so that I found it difficult to take care of my 3 year old, much less working and completing daily household chores. I made an appointment with another obgyn for a second opinion. Since you can t determine the amount or severity of endometriosis this physician said he would need to perform a laparoscopy to correctly diagnose and make a plan for improving my health. I remember sobbing in his office. He was so kind and concerned and I had the feeling he could help me but I would have to trust him and be willing to do what he asked of me. The laparoscopy was scheduled at an outpatient surgery facility. All surgeries should be taken serious as the outcome, no matter the simplicity of the surgery, could result in permanent damage or even death; however, this is less common with a procedure as simple as a laparoscopy. The procedure should not have taken more than an hour; however, my husband and mother were growing concerned with each passing hour with no update. when the doctor finally came out to give a report, my family was shocked to hear what he had found. The amount and location of the endometriosis was one of the worst he had seen. He also determined what was the cause of this. During the procedure he noticed that my uterus became prolapsed when I delivered my son 3 years prior. His comment to my husband was that he really did not know how I got out of bed each day due to severity of anemia or because of the high level of pain I had to have been experiencing. Once my menstrual cycle returned after delivering my son, did not stop for 3 years due to the prolapse. My uterus was 4 times larger than a normal uterus causing intense pain from the weight of the uterus pulling on the tendons. My first obgyn should have noticed this the first laparoscopy he performed on me after my son was born. He scheduled all of his surgeries one day each week. I was informed at my first pre-op how important it was to be on time for the surgery as he had several surgeries and he needed to keep his schedule. I do not know if he had tunnel vision due to his tight schedule and simply overlooked it or if he knew that correcting this would take longer than allotted and chose not to correct in order to maintain his schedule.
Tue, 4 Oct 2016
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OBGYN 's  Response
Hi. I feel really sorry about everything you have gone through. Of course, doing about 6 laparoscopies, is not easy. About the correct diagnoses, I should say what the literature and my exeperience say, that the gold standart of diagnosis and treatment of endometriosis is Laparoscopy. I can not judge why your first doctor has performed 5 laparoscopies to you, but I am sure that laparoscopy is the gold standard. There is a form of endometriosis, which is called adenomyosis. In this condition, the uterus becomes large because of the thickening of its walls. From the information you give, i think you have adenomyosis. Regarding uterus prolaps, it has nothing to do with the abbility of getting pregnant. It will come a moment that you will do a reconstruction surgery for that after giving birth to all the children you need. Take care.
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What Is The Right Treatment For Endometriosis?

Hi. I feel really sorry about everything you have gone through. Of course, doing about 6 laparoscopies, is not easy. About the correct diagnoses, I should say what the literature and my exeperience say, that the gold standart of diagnosis and treatment of endometriosis is Laparoscopy. I can not judge why your first doctor has performed 5 laparoscopies to you, but I am sure that laparoscopy is the gold standard. There is a form of endometriosis, which is called adenomyosis. In this condition, the uterus becomes large because of the thickening of its walls. From the information you give, i think you have adenomyosis. Regarding uterus prolaps, it has nothing to do with the abbility of getting pregnant. It will come a moment that you will do a reconstruction surgery for that after giving birth to all the children you need. Take care.