Thursday, April 22, 2010

The doctor said....

I need to go through surgical treatment called Laparoscopic Ovarian Drilling (LOD) since the medical treatment failed to fix my ovulation and menstrual problem. I asked for a second IUI, but he informed that IUI is not the best treatment at the moment since my body is not responding well with the medication, thus, ovulation is hardly can occur. Therefore, chances of getting successful IUI is pretty slim. Rather than wasting money and time, LOD is the best option as it fix the hormone level and regulate the menstruation.


Here is some information regarding Laparoscopic Ovarian Drilling (LOD) procedure :

Source : http://women.webmd.com/laparoscopic-ovarian-drilling-ovarian-diathermy-for-pcos

Laparoscopic ovarian drilling (ovarian diathermy) for PCOS


Laparoscopic ovarian drilling is a surgical treatment that can trigger ovulation in women with polycystic ovary syndrome (PCOS). Electrocautery or a laser is used to destroy parts of the ovaries.
This surgery is not commonly used. But it can be an option for women who are still not ovulating after losing weight and trying fertility medicines.
Ovarian drilling is usually done through a small incision (laparoscopy), with general anesthesia. The surgeon makes a small cut (incision) in the abdomen at the belly button. The surgeon then places a tube to inflate the abdomen with a small amount of carbon dioxide gas so that he or she can insert the viewing instrument (laparoscope) without damage to the internal organs. The surgeon looks through the laparoscope at the internal organs. Surgical instruments may be inserted through the same incision or other small incisions in the pelvic area.
Because the incisions are so small, laparoscopy is often called "Band-Aid surgery."

What To Expect After Surgery


If you have a laparoscopy procedure, you will likely go home the same day and can do your normal activities within 24 hours. Your return to normal activities will depend on how quickly you recover from surgery, which may take a few days or as long as 2 to 4 weeks.

Why It Is Done


Ovarian drilling is sometimes used for women with PCOS who are still not ovulating after trying weight loss and fertility medicine. Destroying part of the ovaries has been reported to restore regular ovulation cycles.1

How Well It Works


Studies of women with PCOS have shown that ovarian drilling results in an 80% ovulation rate and a 50% pregnancy rate.1
Younger women and those with a body mass index in the normal range are most likely to benefit from laparoscopic ovarian drilling.2

Risks


Risks of laparoscopy include:
  • Infection of the incision.
  • Bleeding from the incision.
  • Internal bleeding.
  • Accidental injury to internal organs or major blood vessels, from the laparoscope or surgical instruments.
  • Pain after the procedure, from inflating the abdomen with gas.
  • Problems caused by anesthesia.
  • Adhesions or scarring inside the body.

What To Think About


No randomized controlled trials have been used to study this treatment for starting ovulation:1
  • Ovulation and pregnancy rates are based on reports of about 1,000 women.
  • Live birth rates, which are the true measure of treatment success, are not available and are probably less than 50%.

At the moment, I am taking Duphaston to trigger my menstruation. In Day 2- Day 5, blood test must be done. And I'll meet again with my specialist in early May to schedule the surgery. I'm hoping to schedule it latest in middle of May, since Wafiy's surgery is rescheduled in early June. hmm... semua nak kena operate nih.. fiy, my dad just had his eye surgery last Monday.

Doakanlah yang terbaik untuk kami yaaaa...... 

Want to see some photos?




The blue circle indicate the ovary. The black holes are numerous small cysts.





                                                           


That's the ovary (the white color thing).









Ovary after LOD procedure. banyak lubang-lubang.






Here is a video of the procedure... 


3 comments:

suria said...

all the best aza =)

AzaMazelan said...
This comment has been removed by the author.
AzaMazelan said...

thanks su.. rasa nervous jugak nih nak kena operate