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Diagnosed endometriosis, had laproscopy to remove cysts. Reappeared cysts, Dr advises follicle tracking. What next ?

Hello I have been diagnosed with endometriosis . When I saw my GP she referred me to a gynaecologist in hospital who has performed a laproscopy to remove the existing endometriosis and chocolate cysts in July 2011. However , after trying to conceive for a year now the doctors tell me that the cysts have returned and I will need another laproscopy. They have used a process called follicle tracking at the start of July 2012, and I am awaiting a call from the hospital. How long does it usually take on the Nhs to get the results of follicle tracking and what will be the next stage of treatment. I have been TTC since the last 4 years and am starting to lose hopes of getting pregnant. I am currently 31 years old.
Asked On : Fri, 31 Aug 2012
Answers:  1 Views:  57
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OBGYN, Maternal and Fetal Medicine 's  Response
Hello tinonchka,
Operative Laparoscopy for Endometriotic cysts removal in a patient desiring pregnancy is the 'Gold Standard' treatment. So the first step was absolutely correct.
The chances of getting pregnant after this surgery is highest within 1 year of surgery. There is a debate about whether we should wait that one year before offering assisted reproduction techniques. A debate means that one can offer different options of treating. At our centre we would suggest that a patient be considered for IVF now. Considering your age too, the best chances with IVF happen before age 35 years.
Since 1 year has already elapsed since your surgery and since endometriosis is actively present even now, i would think that chances of conceiving by yourself are not very high even after you undergo a second Operative Laparoscopy. May i suggest that you discuss the option of IVF with your doctor and request to be put on waiting list. While you wait you could undergo another laparoscopic procedure to clear out the inner pelvic region as much as possible and, maybe, to hook up the ovaries to an accessible place so that its easy, at a later date, to aspirate the eggs for an IVF cycle. That way you get the best of all chances.
Your doctor will best be able to answer local waiting times on NHS.
Regards and all the best.
Hope this answers your queries.
One final word - nature is strange in its ways. Patients who, from medical point of view, have lesser chances sometimes miraculously do well. The trick here is a total and absolute relaxation into what is. Try meditation and yoga. The system may suddenly slip into a kind of surrender - then medical doctors seem to bring about wonders :) Actually its you who do the trick :) Relax.....
Answered: Fri, 31 Aug 2012
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