Hi, I am due to have a laparoscopy and hysteroscopy on Tues 12/5/09 and I am not sure what to expect. I am a little nervous as I haven't had surgery before. I also don't know what to expect afterwards. Does anyone know if there is a higher pregnancy rate after this kind of surgery. If anyone could share there experience it would be greatly appreciated.
Hi and welcome to BellyBelly! With the lap, they will make the three incisions in your abdomen (usually in your navel, on your bikini line and one to the side) and they will bloat your stomach with gas so that they can see all your organs clearly etc. Then he will remove any adhesions or cysts if there are any and send samples off to pathology to check if it is endo or something else etc (I am assuming you have endo?). The hysteroscopy is usually done with a D&C as well and is where your cervix is dialted and a camera inserted to see what there is in your uterus. Anything they find will be removed and samples sent to pathology. You will also have the lining of your uterus scraped away in a curettage (the 'C' in D&C). Afterwards you will have some bleeding (like a normal AF really) and cramping. You will also be pretty sore around your abdomen from the incisions and also just from the surgery itself. You may also have some bloating and shoulder tip pain. Shoulder tip pain is when the gas they use can get trapped, causing pain in the shoulder area. This will be uncomfortable but will go in a day or two. Arrange to have a few days off work as you will need to do as little as possible and just rest. Bending over can hurt a bit, so try to avoid that if you can. If all goes well you should be fully back to normal by about 2wks (allowing for the soreness and bloating to go away.
As for increased chances of getting pg, well that's hard to say. For some women it makes all the difference, but for others it may still take awhile depending on what was found during the lap. If you have extensive scarring of the tubes or ovaries it may hinder getting pg. It is something you can't say for sure either way until afterwards when you know what is going on in there.
Thank for the reply trillian.I had a HSG about two weeks ago where the tubes and ovaries look fine, which puts me in the Unexplained infertility range. So they are going to do a laparoscopy and hysteroscopy as the Dr said that 50 - 70% of the time they find endometrioses as it can be asymptomatic. While they are there they are going to remove a small fibroid which is up near the right tube and also fixed my concave shaped uterus.
Heres fingers crossed that everything goes ok on Tuesday which will help in getting our BFP as it has been 12 - 24 month of tcc.
Have you had a laparoscopy and/or hysteroscopy done before?
Ive had 2 laps. The first was to see what was going on down there. it was only 30mins and got 2 scars one in the belly button and the other above the bikini line. They found out I had sever endo. 2 weeks ago I had another lap, D&C hyst etc. to remove it all. It took 3.5 hours and they removed all the endo except on the bowel. I had 4 stiches this time. 2 in the same spot as before and 2 either side of pelvis. Both times I never got sholder tip pain. Wit hthe 1st lap I only took 2 days off. With this one I just had, I ended up taking 2 full weeks off, due to being really tired after the opp ( i slept all day every day for the 1st week) the second week I had severe pain and it turned out to be ovulation pain. I was bloated for a week a part from the gas the put inside you they also put an adhesive type solution so nothing would stick together etc. For the second opp I stayed over night in hosp. as my heart rate was quite fast.
I know how you feel. it is very daunting. I couldnt see beyond the opp,you will be fine. just take care and take time to recover before going back to work.
I forgot to mention that we were told while having endo and ttc for 2 yr we had 1-2% chance of concieving nat each month, now we have been told it has increased to a whopping - wait for it ..... 4-5% chance of concieving naturally each month. sheesh! I read an article that it can increase up to 50%. i guess it depends on the issues. I posted a thread in the endo section of the forum about success stories. I think it is under general conception etc. There are some positive stories there about BFP after endo.
Hi Lioness, welcome to BB! I've had one laparascopy and hysteroscopy back in March 2005 where my endometriosis was diagnosed. The surgeon did the dye thing in my tubes and they were completely blocked. I was told I'd never conceive naturally! But 2.5 years later I fell pregnant and now have my beautiful son
Trillian has described the surgery perfectly. It's usually a day stay but sometimes they keep you in overnight particularly if they find alot of endo as it was in my case. Took me a good 2 weeks to recover and then a few more after that to feel physically "normal" again.
My periods returned 7 months after DS was born and so far they have been good so hopefully this means no sign of endo returning.
Anyway, all the best for the surgery on Tuesday. I'm sure it will all go really well. In some ways it is nice to know what the problem is so that you can find a solution but if they don't find anything it can also be hard because you're trying to find a solution to a problem you don't know (if that made sense!?). So, I hope it is nothing too serious and afterwards you get a BFP very soon.
Anyone had a laparoscopy & hysteroscopy?
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