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Monday, January 02, 2006

Fertility after endometriosis surgery

Hi,

I am a 36 and having some infertility problems.

Six years ago I had endoscopic surgery done for a mild case of endometriosis and to have a chocolate cyst removed from my right ovary. On November the 28th of 2005, I was admitted to the hospital with severe abdominal pain & on the 29th had surgery to remove a chronic case of endometriosis, acorpus luteum cyst or adnexal mass about the size of an apple removed from the right ovary, my right ovary & fallopian tube removed and my left ovary and fallopian tube had to be cut away from my intestines. I was advised to start trying to get pregnant in three months after the surgery in fear of the endometriosis coming back.

What are my chances of being able to become pregnant after having the right ovary removed. I currently have two children, but have also had two miscarriages. I want to hurry up and get pregnant due to my age and the endo. Should we try anything else to increase our chances of getting pregnant?

Melissa

Dear Melissa,

It sounds from your description like you have significant endometriosis and scarring, and that could definitely affect your fertility. The chance of getting pregnant is highest in the 6 months after surgery so it makes sense to get try to get pregnant on your own. If you are not pregnant within 6 months, you should make an appointment with an infertility evaluation. An infertility specialist will be able to give you more information about the chances of getting pregnant, and recommend treatment if necessary. There is nothing that you can do on your own (beyond having intercourse around the time of ovulation) that will impact your chances of getting pregnant in the next 6 months.

Sincerely,
Amy

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