+ Reply to Thread
Page 1 of 5 123 ... LastLast
Results 1 to 10 of 44
  1. #1
    Join Date
    May 2015
    Posts
    38
    Thanks
    15
    Thanked
    5
    Reviews
    0

    Default Low AMH with endo - should I have a laparoscopy straight away?

    Hi there,
    I'm 32 and have an AMH of 3 and endometriosis cysts of over 3cm on both ovaries. Although they couldn't see endo anywhere else on the scan, my doctor said almost everyone that has it on their ovaries has it elsewhere.

    I've been to see both endo specialist and IVF specialist and both tell me different things. Endo specialist tells me to have a laparoscopy to remove endo and then try naturally before going down the IVF route.

    IVF doctors scared the life out of me by saying that endo surgery will reduce my AMH even more and could even push me into menopause.

    We eventfully agreed to do two rounds of IVF before going down the laparoscopy route but I'm not sure if this is wise.

    Im finding this whole process extremely stressful and depressing and just wanted to hear some advice from women who have had both low AMH and endo laparoscopy to remove cysts from ovaries. How did it effect your AMH level, did you get pregnant after lap? If so, how long?

    Also, can anyone recommend a endo surgeon in Sydney?
    Thanks

  2. #2
    Join Date
    Feb 2011
    Location
    Far North QLD
    Posts
    2,188
    Thanks
    1,803
    Thanked
    1,712
    Reviews
    0
    Achievements:Topaz Star - 500 postsAmber Star - 2,000 posts
    Hi, I'm so sorry you're going through this. I didn't have low AMH but had fairly severe endo. I kept putting surgery off & off. Partly because it was a lot to go through without them knowing before cutting me open if I did have endo & if so how bad would it be?

    It got to the point where we needed ivf. Because ivf is so expensive we decided to do the laporoscopy beforehand. It was so lucky we did because the extent of the endo I had was really bad, which was all removed. They also removed many cysts & said my ovary was stuck to the side which no one picked up through a scan. The doctor said it was really bad that even if we did get pregnant it probably would've ended in a miscarriage so I'm glad we did it prior to ivf. I had to have injections in my stomach at the doctors for 4 months after to treat it too. I'm just so glad we opted for surgery first as ivf is so expensive & this way we gave it all every chance we had. In saying that though my friend had one & didn't have any endo so it really is difficult to know.

    It's a personal choice & good luck for whichever way you choose to go

  3. The Following User Says Thank You to Rocky27 For This Useful Post:

    ATsydney  (19-10-2015)

  4. #3
    Join Date
    May 2015
    Posts
    38
    Thanks
    15
    Thanked
    5
    Reviews
    0
    Thanks rocky27.

    How long ago did you have your lap? Have you been trying to conceive since?

    If I didn't have the low AMH, i would go straight for the laparoscopy but I don't want to take the risk of damaging my already fragile ovaries anymore if I don't have to. 😞

  5. #4
    Join Date
    Jun 2013
    Location
    Inner West
    Posts
    3,267
    Thanks
    1,892
    Thanked
    1,916
    Reviews
    1
    Achievements:Topaz Star - 500 postsAmber Star - 2,000 posts
    Awards:
    Busiest Member of the WeekBusiest Member of the Week - week ended 19/9/2014Busiest Member of the Week - week ended 17/7/2014200 Posts in a week100 Posts in a week
    Quote Originally Posted by ATsydney View Post
    Hi there,
    I'm 32 and have an AMH of 3 and endometriosis cysts of over 3cm on both ovaries. Although they couldn't see endo anywhere else on the scan, my doctor said almost everyone that has it on their ovaries has it elsewhere.

    I've been to see both endo specialist and IVF specialist and both tell me different things. Endo specialist tells me to have a laparoscopy to remove endo and then try naturally before going down the IVF route.

    IVF doctors scared the life out of me by saying that endo surgery will reduce my AMH even more and could even push me into menopause.

    We eventfully agreed to do two rounds of IVF before going down the laparoscopy route but I'm not sure if this is wise.

    Im finding this whole process extremely stressful and depressing and just wanted to hear some advice from women who have had both low AMH and endo laparoscopy to remove cysts from ovaries. How did it effect your AMH level, did you get pregnant after lap? If so, how long?

    Also, can anyone recommend a endo surgeon in Sydney?
    Thanks
    Go get a second opinion from Dr Gabrielle Dezarnaulds. She is both an IVF doctor and specialist RE for doing Endo surgery. She did my Lap and got me pregnant

    She's with Genea.

    Good luck.

  6. The Following User Says Thank You to ScubaGal For This Useful Post:

    ATsydney  (19-10-2015)

  7. #5
    Join Date
    Mar 2010
    Posts
    1,555
    Thanks
    438
    Thanked
    910
    Reviews
    0
    Achievements:Topaz Star - 500 posts

    Default Low AMH with endo - should I have a laparoscopy straight away?

    Hi Atsydney, I am 29 and have amh of 3 and also had 3cm endometrioma on my ovary.

    I went for the lap although I was scared of making things worse (it was my 3rd lap). I have had many chem pregs so I felt like something needed to be done. I was also under the impression that cysts on the ovaries can be problematic during IVF.

    In the surgery they also found endo on my ureter (which can be quite nasty), scarring and a polyp and I was relieved they did it. I haven't had my amh tested since. My FSH has fluctuated (the first cycle following lap it was lower than pre lap, amend second cycle it went up) but that is pretty standard. Unfortunately my IVF cycle was canned as my FSH was too high so we are waiting a month then trying again. However I have actually had MORE antral follicles post lap (14 and 23 as opposed To 5-7) ...not sure if that is a coincidence though!

    In short it is a really tough decision with no clear answer. I just felt that Getting eggs can be a struggle with low amh...and I didn't want to potentially compromise implantation (and waste those hard earned embryos) because of endo.

    Good luck with whatever your decision, I know how hard it is!
    Last edited by Patience86; 19-10-2015 at 08:56.

  8. The Following User Says Thank You to Patience86 For This Useful Post:

    ATsydney  (19-10-2015)

  9. #6
    Join Date
    May 2015
    Posts
    38
    Thanks
    15
    Thanked
    5
    Reviews
    0
    Hi patience86,
    Thanks so much for responding. It's a relief to hear from someone in such a similar situation - although at the same time I'm sorry to hear you're going through this, I wouldn't wish this on my worst enemy!

    I thought I would do two rounds of IVF before going for a lap but now I'm thinking just one as they've put me on a long down regulation (I'm with RPA which is a public hospital that uses Genea doctors and technology) which takes two months to complete. I'm also worried that long down reg isn't the best option for me and they've just put me on it because its a public hospital and long down regulations are easier for them. What protocol were you on? Also are you in Sydney? If so, what doctor did your lap? I'm booked to go private with Dr Vincent Lamaro.

    Also, when was your lap? Have you been ttc naturally as well?

    Thanks again x

  10. The Following User Says Thank You to ATsydney For This Useful Post:

    Patience86  (19-10-2015)

  11. #7
    Join Date
    Mar 2010
    Posts
    1,555
    Thanks
    438
    Thanked
    910
    Reviews
    0
    Achievements:Topaz Star - 500 posts

    Default Low AMH with endo - should I have a laparoscopy straight away?

    Quote Originally Posted by ATsydney View Post
    Hi patience86,
    Thanks so much for responding. It's a relief to hear from someone in such a similar situation - although at the same time I'm sorry to hear you're going through this, I wouldn't wish this on my worst enemy!

    I thought I would do two rounds of IVF before going for a lap but now I'm thinking just one as they've put me on a long down regulation (I'm with RPA which is a public hospital that uses Genea doctors and technology) which takes two months to complete. I'm also worried that long down reg isn't the best option for me and they've just put me on it because its a public hospital and long down regulations are easier for them. What protocol were you on? Also are you in Sydney? If so, what doctor did your lap? I'm booked to go private with Dr Vincent Lamaro.

    Also, when was your lap? Have you been ttc naturally as well?

    Thanks again x
    I am on an eostrogen priming protocol, they won't do IVF until FSH is under 15 (it was 17 this cycle). The eostrogen suppresses FSH, supposedly anyway...didn't work last time!

    Basically I go on the pill ( or pure esterogen if this doesn't work) for 21 days then if bloods are good it's an antagonist cycle. So all up it is about 2 months as well. In addition to trying to suppress the FSH, my doc wants to give my ovaries a rest before pushing them. I believe it also reduces the likelihood of more cysts too, that I am prone too...

    I'm in Perth but I had a doc who specialised in endo do my lap in August. We did try naturally with an immune protocol immediately (I also have immune issues) after because apparently you can be more fertile after the lap. Awesome cycle...FSH was lower...Hormone levels textbook...but no bfp....so we went on to IVF.

    I would reccomend a second opinion if you don't have faith in your IVF doc. I may change as I feel my clinic is very traditional and doesn't think outside the box!

    Good luck and let me know how you go!

  12. #8
    Join Date
    Feb 2011
    Location
    Far North QLD
    Posts
    2,188
    Thanks
    1,803
    Thanked
    1,712
    Reviews
    0
    Achievements:Topaz Star - 500 postsAmber Star - 2,000 posts
    Quote Originally Posted by ATsydney View Post
    Thanks rocky27.

    How long ago did you have your lap? Have you been trying to conceive since?

    If I didn't have the low AMH, i would go straight for the laparoscopy but I don't want to take the risk of damaging my already fragile ovaries anymore if I don't have to. 😞
    It was a few years ago now. We did our first round of IVF in May 2014. Because I also have PCOS I reacted badly to ivf & got OHSS so they had to freeze all the embryos. They did our first frozen transfer on Halloween (of all days haha) last year & we were incredibly lucky because it worked & I now have the cutest little girl in the world

    It's not an easy decision to make. You could do the first round of IVF & see how many eggs you get & how many embryos from it. If they're able to be frozen at least that would give you the option of having the laporoscopy in between before they implant any.

    What did the doctor recommend? Hopefully a few others who have the same thing can let you know how it went for them

  13. #9
    Join Date
    Oct 2009
    Posts
    3,874
    Thanks
    308
    Thanked
    1,018
    Reviews
    21
    Achievements:Topaz Star - 500 postsAmber Star - 2,000 posts
    I'm currently laying in bed recovering from that exact surgery lol. My FS and my surgeon were both hesitant to operate and cause damage to my ovaries, the surgeon only agreed as my AMH is 31, so I can 'afford' some damage at the moment. I was adamant I would have the surgery as even with my good AMH the endometriona was making me a poor responder to IVF. My antral count was 17 and 11 but once stimming the most eggs I got was 3 mature. I would go for the surgery, yes it might lower your AMH but you probably won't respond at the moment with the endometrioma there. Maybe compromise and agree to do 1 ivf cycle to see how you respond, and if you are a poor responder then go for the surgery. Fingers crossed 1 round gets your lucky embryo and you wouldn't need the surgery.

  14. #10
    Join Date
    Jun 2013
    Location
    Inner West
    Posts
    3,267
    Thanks
    1,892
    Thanked
    1,916
    Reviews
    1
    Achievements:Topaz Star - 500 postsAmber Star - 2,000 posts
    Awards:
    Busiest Member of the WeekBusiest Member of the Week - week ended 19/9/2014Busiest Member of the Week - week ended 17/7/2014200 Posts in a week100 Posts in a week
    @ATsydney I tried to PM you but not sure you have PM access yet - you need a minimum number of posts to be able to receive messages.

    Anyway, happy to chat if you want to regarding the lap surgery and what to expect.


 

Similar Threads

  1. any one else get a bfp after laparoscopy?
    By chuckas in forum Endometriosis Chat
    Replies: 22
    Last Post: 15-07-2015, 18:51
  2. Laparoscopy
    By stolz in forum Conception & Fertility General Chat
    Replies: 15
    Last Post: 13-12-2014, 12:23
  3. Laparoscopy
    By stolz in forum Conception issues & ttc
    Replies: 7
    Last Post: 07-11-2014, 09:32

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
free weekly newsletters | sign up now!
who are these people who write great posts? meet our hubbub authors!
Learn how you can contribute to the hubbub!

reviews
learn how you can become a reviewer!

competitions

forum - chatting now
christmas gift guidesee all Red Stocking
Bamboo Lulu
Unique, non-toxic wooden eco toys for babies. Water-based paints, saliva-resistant & baby safe. Super soft, prints & basics for baby, made from bamboo & organic cotton. Hypoallergenic - great for eczema relief. FREE gift with purchase. Code BUBHUB
sales & new stuffsee all
True Fairies
True Fairies is the first interactive website where children can engage and speak with a real fairy through the unique webcam fairy portal. Each session is tailored to the child, and is filled with enchantment and magic.
Visit website to find out more!
featured supporter
Be In Blossom
We offer physiotherapy run pregnancy Pilates, pregnancy Aerobics, and Mummy Pilates & Baby Massage classes with a focus on optimising posture, body awareness, pelvic floor support, back care and maintaining fitness, aiming to assist women prepare and recover from their birth.
gotcha
X

Pregnant for the first-time?

Not sure where to start? We can help!

Our Insider Programs for pregnancy first-timers will lead you step-by-step through the 14 Pregnancy Must Dos!