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I need help and advice pronto!! ENDOMETRIOSIS???? WTF???

37 replies

mummy2olivia · 08/08/2008 10:01

In a nutshell, I have had a shit time TTC- let me sum it up-

15 months to get a BFP
MC at 9 weeks plus retained products and infection and haemorrhage
Cycles finally kick in 8 weeks later- very painful
Chemical pregnancy last weekend
Everybody around me is getting up the duff faster than I can fricking blink!!!

I'm sure there are loads of you on here that can relate!! And some of you prob know how hard the last few months have been.

However, there has been a development and I'm sorry this is so long but I really need to make sense of what is happening to me

When I found out I was pg back in April the thing that alerted me that there was something wrong was a pain in my right hip. I mentioned it a few times on mumsnet and put it down to stretching/moving/things changing etc. The pain carried on, an intense stabbing pain in my pelvis, constant aching, almost like it was in the bone of my right hip and in my side. I even panicked that it was ectopic and went to A&E!!

However as I said before I lost the pregnancy. And somewhere over the course of a very longwinded and messy miscarriage the pain in my side faded. The pain came back about end of June- the same pain, intense aching in my right hip, lower back and around the top of my buttocks. The pain was so bad at one point that I thought I had bumped my coccyx and hadnt noticed. 2 weeks later my first AF came so I assumed that I must have ovulated and the pain was something to do with that and the MC and everything getting back to normal. When my first AF came the pain went- just faded away. after 2 weeks of intense pain it just vanished. I did speak to my GP about it at this point and it was put down to simple back pain?!

Because I had my 1st AF we returned to TTC and I noted that as soon as I ovulated the pain returned, not as bad as the previous month, more like 2 weeks worth of period pain plus the shap pain in my hip and round to my lower back but right in my pelvis. Spoke to DH about it at this point and he reminded me that my period pains have got worse recently, before I got pregnant, and that I have been having period pain in my buttocks!! Me and DH had laughed about this at the time but it really is quite a painful place to get period pain!! He felt that I should go back to GP- which I did yesterday.

I told the GP all this just as I have said here (long appointment ) and he listened and said that what I had described hints to him that I may have endometriosis. He stressed that he wasnt saying I definitely did but he felt that what I was saying was a classic example of endometriosis exacerbated by the MC to the point that I have noticed it more. He said I had 2 options- If I was desperate to get pregnant ASAP then he would refer me urgently. But if I was willing to wait a while then the second option would be to go on the pill for 3 months. This would do a number of things- dampen the endo back down (if it is present), give my body a rest and bring my hormones into line and also 'kick start' my fertility. He was very nice and made it very clear it was my choice but in his experience, the pill for a short time, was a good treatment. And if i remain symptomless for the duration of the 3 months then it is almost def endo and he will refer me to gynae. I took the pill option.

But I have a few questions (I hope Attilla sees this!!!)

  • is this a standard treatment???
  • Is endo normally diagnosed with a laproscopy? Could I do this privately whilst taking the pill?
  • Are the symptoms I describe really classic symptoms?
  • My GP said that endometriosis can be so mild that you dont feel symptoms til something triggers a flare up such as a pregnancy- is this right?

I'm sorry this is such a long post I could just really do with some advice, support and som e wise words. Thanks in anticipation. x

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mummy2olivia · 21/09/2008 14:43

Thank you attilla- I was hoping you would reply!!!

It is so difficult to know what to do- GP was of the opinion that I should just carry on TTC but really don't think this is wise- surely the longer you go on without a proper diagnosis or treatment, the more damage is being done?

I think a referral is the way forward now- I want to know what is going on.

OP posts:
AttilaTheMeerkat · 20/09/2008 18:25

I think the GP should refer you to a gynae consultant anyway at a subfertility unit. I also think you need to talk to this person at some length about your menstrual and gynae histories. Would also suggest that you do not attend these appointments on your own - moral support is vitally important besides which the other person can ask questions.

Write down anything you want to ask well ahead of time - no question is daft.

Look at www.endo.org.uk and also consider phoning their helpline too.

mummy2olivia · 20/09/2008 11:58

Well, am back from my hols- after the first few niggles whilst on the pill, whilst on holiday I was completely pain free in what would have been the second half of my cycle. Am coming to the end of 2nd cycle on pill and have had a couple of niggles like last time at first half of the pack but 2nd hlf (when i would normally be getting a lot of pelvis pain) is so far pain free. When i was put on the pill the GP said that a lack of pain would give a more definite indication of endometriosis if not, then an indication of some other gynae prob. So am kind of resigned to something being wrong and its coming up to 2 years since having my coil out.

What I am really confused about now though is what next??? Do I ask for a gynae referal? come off the pill and carry on TTC? (this is what GP recommends) or do I ask for a fertility clinic referal? Everyone seems to have a different opinion and I really dont know where to go with this- I want a baby but i also want my health to be looked after too. We were going to go private but after hearing some recommendations for local NHS consultant we have decided to save our money and go NHS. What is my next step?

OP posts:
mum2jai · 19/08/2008 22:33

Anniemac - thank you for your sympathy. It's been awful losing Jai but we're surviving.

mummy2olivia · 19/08/2008 13:46

He has not mentioned seeing a gynae but I have private healthcare through DHs work so will be seeing Richard Kennedy who is an endo specialist as soon as I get back from my hols.

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AttilaTheMeerkat · 19/08/2008 13:39

mummy2olivia

This was also not caused by something you did or did not do. The causes of endometriosis are unknown; I feel there are several factors involved.

I'd call the Endo UK helpline on 0808 808 2227. They are knowledgeable and can give support. Do read their website too; it has helped me a lot.

Is GP going to refer you to a gynae; you should be seen as a matter of course.

Attila x

mummy2olivia · 19/08/2008 13:27

It is getting pretty hard. I'm usually quite chipper and can almost laugh at the bad luck we have had but it is getting harder and harder. I'm not quite ready to join the hut yet but I am finding it very hard to stay cheerful. Especially when the GP mentioned that it could have been caused by retrograde bleeding during my MC- didnt know what he meant but when I realised what that was, I felt like I'd been kicked. I bled for 8 weeks during my MC and begged for a ERPC but instead they just pulled 'products' out with forceps while I was awake which made me bleed more- I'm starting to wonder how things could have been

OP posts:
anniemac · 19/08/2008 11:42

This reply has been deleted

Message withdrawn

mummy2olivia · 19/08/2008 10:50

Thank you Attila x

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AttilaTheMeerkat · 19/08/2008 07:37

Hi Mummy2olivia

Have only just returned from my two weeks holiday so am hoping you see my reply to you before you yourself go on holiday.

Have read your initial posting.

Re your comment:-
"But I have a few questions (I hope Attilla sees this!!!)

  • "is this a standard treatment???"

The pill is one option as this dampens down the endo whilst taking it. However, once you stop taking it it can recur.

  • "Is endo normally diagnosed with a laproscopy? Could I do this privately whilst taking the pill?"

Yes to your first qyestion. Think it is certainly possible to have a lap operation whilst taking the pill but you would need to discuss this with your consultant.

Endo is normally diagnosed during a lap. From reading what happened to you in your initial post I think it also sounds like endometriosis. The pelvic pain experienced along with your mid cycle pain and pain in the rectal area (have had that as well) are two sym,ptoms associated with endometriosis

"- Are the symptoms I describe really classic symptoms?"

I would say yes they are. The four main symptoms of endo are pelvic pain, subfertility, mid cycle pain and painful periods. You can also have painful sex (this is also an indicator of endo). Basically any symptoms that are cyclical and that get worse duyring menstruation may be due to endo.

-"My GP said that endometriosis can be so mild that you dont feel symptoms til something triggers a flare up such as a pregnancy- is this right?".

This can happen but not always. My periods were extremely painful due to endo from the time I started menstruating at 14. I had many of the classic symptoms associated with it - extremely painful periods, pains in rectal area and stomach, pains down legs.

In my view you should be referred to a gynae for further evaluation.

Would suggest you look at www.endo.org.uk
which is the webiste of Endometriosis UK which campaigns for greater awareness. It also has a great message board and a helpline number you can call.

HTH and good luck

Attila x

mummy2olivia · 18/08/2008 20:18

I want attila to see this before I go on holiday!!! Sorry but am gonna bump til she does!!

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fairywing · 14/08/2008 08:20

Hi, Yes you can still get the pain whilst on the pill and it may take a little time for it to build up enough in your system to have an effect. Your DH could b right and you may have a better response next month. However it could also indicate that the treatment isn't the right one for you.

I have endo. I was diagnosed by laparoscopy 4 years ago. My endo is widespread and therefore they can't laser it away. The bits that effect me most ae growing into my bladder. I get several types of pain. Theres the bladder pain which at its worst means i have to muffle my screams when i pass urine and dig my fingernails into my thights to distract from the pain a little. It also hurts before and after i go. I have the intense period pains in my stomach and back. I have what feels like intense cramp somewhere inside that having talked to people who have been through it seems to be similar to contractions. I have the sensation that there is not enough room in my pelvis, like a strong pressure wich is more uncomfortable that painful, as is the sensation that my organs are sticking or rubbing together. I also get some 'spasms' during sex that are pretty painful. What i am trying to say is that endo can show itself in many ways including as others have said not at all!

The good news is, mine was mostly controlled whilst on the pill. I have also had two lots of treatment which has involved 6 x monthly injections which put me through a temporary menopause. The latest one i finished recently and was in preperation for TTC. I had my first period since then and things are 100 times better. Not totally fixed by any means but i am much less anxious about having to have a monthly period for a while something that i couldn't have coped with before. There are lots of different treatments out there, including some alternative therapies and a special diet. Good luck and i hope the pill does work for you

littlemissmischief · 13/08/2008 21:40

Hi, dont know if you got all the answers tht you want yet but thought i would give you my story to see if any of it helps.
Always had painful periods and irregular ones too was put down to stress and many other things then finally was agreed I had poly-cystic ovaries. Was happy with that diagnosis apart from the fact I had no other symptoms but then got worse, went a year without a period and sex was so painful it made my cry! Was finally referred to a Dr at the hospital who did a lacrospacy (sp) but before said he didnt excpect to find anything cos i was young etc. I was down there for 4 hours and when I came round was told that I had alot of and it was around thand on top of my womb (causing the painful sex) and around my ovaries and I would probably need help ttc. I was then due to go back and have my operation to have the endo burnt off but a few days before had really sore boobs and my mum made me do a pg test (just in case) and guess what...I was pg after being with my partner for 3 weeks needless to say I didnt have the op but had a beautiful son instead and it ha kind of helped tone it down. Now ttc DC2 but not happening as quick as the 1st one

Sorry for the long post but hope that helps.. Good luck

mummy2olivia · 13/08/2008 21:38

Can you still get the pain whilst on th epill? will my body just have to get used to the pill before I see an improvement?

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mummy2olivia · 13/08/2008 21:37

Thanks guys.

I have been in a lot of pain, but most of the time i am fine.

Am a bit concerned today as am a week into taking the blasted pill and have started with my usual pains today- low back ache, aching hips and aching pubic bone. DH thinks i may have to give it til next month to see a real improvement but I am even wondering whether the GP is wrong and I have arthiritis or something!!

The pain is weird- I'm not doubled up or in agony, my pelvis just aches and I just feel...well...uncomfortable. Nowhere near as bad as 2 months ago....

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quickerthistimeplease · 13/08/2008 21:31

I haven't read through all the posts properly but after TTC for a year or so I had a laparoscopy etc and they said I had mild endometriosis. After a few more months of TTC I had laser treatment on it by Prof Sutton in Guildford. (Think he is a world expert).Turned out it was actually quite severe and there were some big cysts as well. (I had aboslutely NO symptoms at all).Anyway- got pg the next month! And after trying again for only 2 months am now pg with DC2.
Def go and see a proper gynacologist. If you have private health insurance don't mention anything to do with fertility to the health company when you need to get clearance for a referral- just say it's painful etc. (Sounds as though you are in loads of pain anyway) I got all my treatment done privately even though I wasn't covered for anything to do with fertility.

helenlouisey · 13/08/2008 21:03

Hi Mummy2Olivia. I would completely agree with mum2jai that you should go and see a specialist rather than a general gynae or letting your GP treat you. Endo is a very complex disease and effects everyone differently. Some people have a lot of pain, and very little amounts of endo, and some people have no pain or symptoms (like myself) and have severe endo. There is no cure for endo unfortunately, and whilst the pill may help things keep at bay for a while it won't cure it. Let me know where in the country you are, as can recommend an excellent consultant in London if you'd like one. Good luck.

firststar · 11/08/2008 14:14

Message withdrawn

mum2jai · 10/08/2008 18:10

Hi! I was diagnosed with endo when I was 22, many years ago, because I had an ovarian cyst. I also got the cyclical pain you describe. When the cyst got really big I had pain almost constantly for 6 months but it got worse around my period.

I lost my ovary because I waited so long to get treatment so I would ask for a referral to a consultant ASAP. They can diagnose a certain amount by scans but they really need to do a laparoscopy to make sure - and they can treat at the same time by laser so well worth doing.

My endo was pretty aggressive and after major surgery and drug treatment it came back hellishly. So I ended up having more surgery and was then on drugs for ages. After that I went on the pill - it definitely does help to control things but I think you need to get what's there treated first - and then it can control its return.

GPs, and even some consultants, are not very skilled at dealing with endo. So I think you need to see someone who knows what they are doing. It can make all the difference when it come to preserving your fertility.

We were always told that we would have great difficulty conceiving. We tried for ages, and 2 weeks before IVF, found we were pregnant with DS1 6.5 years ago. When I was bf him, I unexpectedly got pregnant with DD. And then 2.5 years after she was born I had DS2.

In Feb, I found myself unexpectedly pregnant with DS3 (still think of myself as infertile so not good at contraception) but 2 months ago at nearly 21 weeks he died. It's been devastating but it's not endo-related, we're told. And we do still count ourselves extremely lucky given the chances of me getting pregnant with my history. We'd love to try again, but I'm 39 now and, as I say, I still think of myself as infertile so I'm not holding out much hope.

Endo definitely improves with pregnancy but can also cause infertility and early miscarriages. I would definitely go see an endo expert. Hope that's of some help.

mummy2olivia · 10/08/2008 17:19

bumping just in case attilla is around but feel free to reply even if you arent attilla

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StripeyKnickersSpottySocks · 09/08/2008 15:53

You might find some good info here;

www.shetrust.org.uk/

I was diagnosed with it 7 years ago, I was having a laparoscopy for something else but the consultant said to me afterwards that he's found it while rummaging about. At that time I had no symptoms.

7 years on my periods are heavier and more painful, I pass clots and sometimes flood. Some months are worse than others. I don't get really, terrible pain though.

iwillbepositive · 09/08/2008 15:43

Hi m2o

I have been ttc#2 for 2.7 years and had laparoscopy and lasering for endometriosis a couple of days ago. I had no pain at all from the endometriosis and it was only suspected because we tried IUI and the cycle was cancelled due to overstimulation and a cyst which looked like an endometrioma.

The odd thing about endo is that you can have really bad deposits with no pain or not much disease with loads. Your GP may well be right that 3 months on the pill will calm things down. I am now doing the same for 2 months, even having had the endo removed.

It can definitely affect fertility (although as had been said, it doesn't always) and I too had a mc and then a cp. The endo can create a 'toxic' environment for an early embryo as well as having a mechanical effect on conception.

So I would trust the GP and maybe ask for a laparoscopy if you have no luck after a few more months.

Good luck!

mummy2olivia · 08/08/2008 13:20

I think if I have got it, it must only be mild?? I'm not vommitting with the pain although it can make me feel wiped out and it can be intense at times.

I just hope that if it is that it gets treated properly.

Thanks for the positive story!!

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mamadiva · 08/08/2008 12:36

It may have nothing to do with it as just jumped onto the tread and didn't read but am assuming you are worried about concieving.

One iof my very close friends was diagnosed with Endometreosis at 13 and was told she would probably never have children but they would allow her totry with fertility treatment when she was old enough so when she was 21 she decided to try it and they gave her the date for march 2006.

She fell pregnant naturally in January 06 and has just had her second child in Fevbruary of this year so.... LOL just thought Id tell you that.

Inquisitive · 08/08/2008 12:33

It certainly seemed to work for me.

I was diagnosed by a laparoscopy when I was 18 - after being told for ages that it was just normal period pain that all teenagers got ( - really? fainting and vomiting is normal?!) The laparoscopy was a really easy procedure - I would have been in and out in a couple of hours except I reacted badly to the anaesthetic and my blood pressure practically disappeared! But even with that I was out the same day.

I was put on the pill for three month stretches for a year (but I wasn't TTC - don't know if they'd have bothered with it being that long if I was older and wanting kids) and after that I never had a problem with pain (I still get cramps, but nothing pain killers can't cope with). And it only took a couple of months when we started TTC.

Hope that's some help - good luck with getting it sorted out!

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