Should i have a laparoscopy?

[*Paula*]

Hi ladies

Of course i will speak to my FS about this but i was wondering if anyone had an opinion about laparoscopies? I have been TTC for over 3 years now and was told that because i was young i would be one of the easy ones, well im still here! After 7 transfers, none have stuck. I have had immunology tests and all came back clear. Have had a HSG and tubes and uterus all look good. I am constantly being told that everything is fine, its just a matter of getting super dooper embies and having some luck. However i am getting to the stage where i want to do something more so I am thinking, should i insist on a lap or should i not bother?

[*Nikki*]

Hey Paula - if it was me i would definitely ask for a laparoscopy.... I've had 2 so far with totally different outcomes (first one was tubes blocked ... no mention of endo) second one done was severe endo
I'm only 25 and have had one DD very easily so no one thought i'd be a prob either.... so it was a huge shock to find out about my endo.... i really dont have painful AF's.... or long AF's... AF usually is regular..

I think a Lap would give u abit of piece and mind iykwim... or they may find the prob.... I'm kind of surprised you havent had a lap done as other then BT's and US's that was one of my first things they wanted to do

to you...... i hope you find some answers soon

xox

[satya]

I agree with Nikki - I'm surprised if you are that far along with things that you haven't had a lap already. That was one of the first things suggested with both sets of investigations I went through - firstly for infertility & then for miscarriages.

[juniper76]

Paula, I'm sorry to hear you're having so much trouble. I'd be very interested to hear what your Dr says. I've had 4 unsuccessful transfers and when I asked my Dr about investigating endo (I have very painful & heavy AF) he said he wouldn't alter my treatment if he found it and therefore the lap was unnecessary. But I still worry there's something there that might explain our difficulties and so many people seem to have them as a matter of course (not that I want unnecessary surgery, I just don't feel convinced that it's unnecessary).

GL and please KUP on what your FS says.

[Bengal]

Hmmm I am with the other gals Paula, some FS's actually do the investigating first, some don't.

If I am unsuccessful in this transfer, I am going to ask for a lap, imo, I think you should too

I mentioned it to a GP yesterday, and he said no, however my fs has agreed yes

Let us know how you go

[*Paula*]

Thanks for your responses. I am booked in for phone call with FS on Tuesday afternoon so will all let you know what he suggests.

juniper76 when i asked my FS about 'further investigation' after my previous failed cycle he wasnt too keen on it and said that he didnt see it necessary so he will probably say the same thing this time but i, like you, feel that there must be more to it if it hasnt happened. But also like you, i dont want unnecessary surgery.

DH and i have spoken lots and lots and we have decided that because the medicare rebate will be cut in January we might just do one more stimulated cycle, if anything to try and get more frosties, and then if we have no success with that stimulated cycle, i will definately insist on a laparoscopy before the end of the year. This way i can have the Christmas/New Year period to recover and then get back into it with FET's (which are much cheaper, hence the cut in the rebate wont hurt us so much). But in saying all this, i will still listen to what my FS has to say and then decided on a definite course of action! I cant believe how much info is going through my head. I seriously just feel like !!

Having read what some have you have said, im really confused why neither of my FS have ever suggested a laparoscopy before?

[Ninah]

I think it's a good idea to get a lap. I went 4 years without one, and most gyno's said I'd be fine. It wasn't until I demanded it, that they decided to go ahead - and discovered two blocked tubes.....so it was a lot of time wasted.

I think it's always good to rule things out, it may be nothing , but atleast you know

xox

[*Paula*]

Thanks Ninah. I think one of the reasons why they have not thought it necessary might be because i had a hysterosalpingogram and all came back that my uterus and tubes were all normal.

[littlemissmoo]

Hi Paula,
I agree with the others on this one. I fall into the 'unexplained' category & when I first met with my FS it was the first thing he recommended, a lap & dye test. So that & a bunch of other blood work was completed prior to commencing any type of fertility treatment. I felt really sore for a few days after but the way I saw it, there was no point starting IVF if there was something up in the first place.
I think if it's something you feel strongly about to make sure your FS listens to you & book it in.
Good luck X