Endometriosis and birth control pills: Story 3

March 2013 declared the International Association of endometriosis "Month to raise awareness about endometriosis." So that more people know about this disease, MEDIKFORUM contributes by publishing a series of post-history of our expert gynecologist Oksana Bogdashevskoy about real cases of endometriosis.

Nadenka 33 years. In November 2011 she was first diagnosed with "endometriosis". Almost six years before she complained of abdominal pain.

Nadia married 25 years. Beautiful wedding, beloved husband, a separate apartment. Quickly she became pregnant, and just in time she gave birth to a healthy boy. Milk was slightly, but enough for up to 6 months. Life was good.

Pain began a few years after birth. They then appeared and disappeared, then were quite tolerant, some painful and unbearable. The doctors did not find anything, but tried to help. Nadia conscientiously implement the destination - drank antibiotics, herbs. Several times went to the sanatorium "in the dirt."

My husband also tried to help - drove to the consultation, buy medicines, and even found a good nanny for his son (Nadya sometimes curl so that the care of the growing strength little boy was left). But then anxiety and suspicion gave way to sympathy, coldness. My husband thought that Nadia pretends and plays scene "dying swan" because it does not want to deal with a child, farm, sex. Indeed, the inability to perform "marital duty" irritated him most.

On the next reception at the gynecologist revealed cysts in the ovaries. Cysts were big and suspicious. The doctor strongly recommended surgery. Perhaps it is the need for hospitalization was the last straw for Nadenka husband. A conversation in a raised voice, and her husband filed for divorce.

10 days in the gynecological department of the hospital is very good Nadia spent in a daze. The inspections, procedures, consultation. Strange words frightened Nadenka did not care. Operation since surgery. Before you leave the doctor Nadenka time explaining what is endometriosis, strongly recommended to take birth control pills. What did he know, this strange doctor! What contraceptives, why? Before the trial was two weeks, life is over, who are now required to Nadia 4-year old son in her arms.

But it all goes - the court, the division of property and the rights to participate in the upbringing of the child. Only 3 months Nadia realized that she did not hurt. Menses time, not "poured" and not twisted "letter sic."

Son - cute boy and magic - went to kindergarten. Nadia got pretty dusty diploma and went to work. The salary was modest, but the parents have helped life to normal. Hair, Heels, fresh make-up, bright eyes. It is no wonder that very soon there was a decent man, he offered his hand and heart and all that there still attached. Immediately after the wedding, it was decided to "make a girl".

Nadia came to us after 1, 5 years. Pregnancy does not occur.

- I do not understand! With me no abortion, son, I almost immediately became pregnant, gave birth easily. Husband spermogrammu passed - everything is in order.

From history:
Discovered external genital endometriosis IV degree (endometrioid ovarian cysts 5 and 7 cm, widespread endometriosis Douglas space and vesico-uterine fold.
In the US in both ovaries 3 centimeter education, suspiciously reminiscent of endometrial cysts.

- You prescribed treatment after surgery?

- Yes, I was advised to drink contraceptive, but I was divorced from her husband, and I have a long time did not have sexual relations.

- Now there is no pain?

- What are you, I'm fine. To me in a hospital surgery done about these doctors legends go!

- It is necessary to make diagnostic laparoscopy. Endometriosis often recurs and does not become pregnant. And the pipe will look spaechki disconnected.

From history:
Laparoscopy has been made operational, two-sided conservative cystectomy. Coagulation and excision of endometriosis. Hromogidrotubatsiya - fallopian tubes are passable on both sides.
Histology: Endometrial ovarian cysts.

- Nadia, it is necessary to take hormone preparations 4-6 months. Only then it is possible to get pregnant
- But I was told that I tried right now. What is the best chance to get pregnant immediately after menstruation!

After 4 months there were pain during sexual intercourse, menstruation became more and more painful.

From history:
FSH - 36 3 IU / liter
LH - 8, 8 IU / l
Prolactin - 487 mIU / L
AMG - 0, 5 ng / ml (normal 1-3, 5 ng / ml).
Ovarian reserve is reduced dramatically.

Ovarian reserve - this is a strategic supply of eggs. No suitable eggs - no pregnancy. The examination revealed a regular recurrence of endometriosis.

Nadya sent to the reproductive system. Recommended hormone therapy, which has twice ignored the patient, then IVF with donor eggs.

Does the routine gynecological surgery contribute to early menopause? This is not an idle question. Nothing more carefully than laparoscopy, has not yet been invented. You do not like the answer: laparoscopic surgery disrupts the function of the ovaries and reduce the ovarian reserve .

Electrocoagulation after resection of ovarian cysts lead to disruption of the vascular system of the ovary, and the removal of normal ovarian tissue with endometriotic cyst wall occurs under any surgical technique.

Treatment of Endometriosis exclusively by surgical methods is unacceptable. Implementation of anti-hormone therapy - not a whim and not a fad, it is a necessity.

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