Adenomyosis, infertility and debulking
I’m just writing this mail because of my adenomyosis : an adenomyoma of 9 cm in the myometrium, found in april 2009 after a laparotomia. Everybody told me Adenomyosis is impossible to surgery. So I did therapy whit Enantone 3,75 for 6 months, but the adenomyoma not reduced its size. I’m looking for a pregnancy, so I’m going to do a Isteroscopy in november, the 6, before the end of the enantone effect, and then, if the situation of the uterus is not dramatic, we’ll try a FIVET.
If the isteroscopy result will says that uterus is compromised, and the mass occupying the uterine cavity, making it impossible to complete the pregnancy, do you think it is possible to surgery and remove an adenomyoma? is there any case where this was possible?
Thanks for the kindness and willingness. I await the response that you will send me.
Response
Concerning your (focal) adenomyosis consider the following
1. It is difficult to distinguish between a myoma and a nodular adenomyosis both by ultrasound and by MRI. It is close to impossible to make the diagnosis during laparotomy. Therefore the diagnosis might be wrong.
2. For an adenomyosis (and for a myoma), treatment with enanthone is a waist of time : it never cures and at best will give a reduction in volume by 30% (ie of some 10% in diameter). When given as a preparation for surgery, it might reduce blood loss during surgery ; surgery itself however, often is more difficult since the planes of cleavage are less clear.
3. An adenomyoma is (always) intramural ie in the wall of the uterus : therefore an adenomyoma (as does an an intramural myoma,) will almost always distort severely the uterine cavity. An hysteroscopy therefore is not adding anything to the diagnosis. Moreover hysteroscopic surgery for a 9 cm is not possible.
4. This means that (laparoscopic) surgery is the only option
- a myoma of 9 cm clearly can be removed by laparoscopy with subsequently a ‘normal’ fertility and pregnancy.
- an focal adenomyoma cannot be removed completely since the planes of cleavage are not clear. Therefore a debulking – reducing the mass- should be done ( by laparoscopy). with afterwards an almost normal uterus. The results for fertility are not that clear : when I reviewed the literature, a few years ago I found 4 cases reports of which 3 had a spontaneous pregnancy. I personally have done 3 debulkings for big adenomyoma’s and 2 became pregnant spontaneously.
In conclusion, for a focal adenomyotic nodule of 9 cm a laparoscopic debulking is the only option today (focused ultrasound is not realistic for a volume of 9 cm diameter). If no other fertility reducing factors exist I would try for at least 6 months to get pregnant spontaneously. After that period IVF should be considered
Prof P.R. Koninckx and Drssa A. Ussia
December 1st, 2009 at 1:28 pm
I saw this site yesterday and got really nice product from here and much info also. I will definitely visit it more and I want you all to see that and gain what you are searching for to improve your vigour and reduce weight.
December 8th, 2009 at 12:18 am
Hi I found this site by mistake i was searching Google web browser info when I came upon your site, I must say your site is really cool I just love the theme, its amazing!. I don’t have the time at the moment to fully read your site but I have bookmarked it and also signed up for your RSS feeds. I will be back in a day or two. thanks for a great site.
December 20th, 2009 at 6:13 pm
I somehow dont agree with a few things, but its great anyways.
January 15th, 2010 at 4:12 am
Do you know if this is something that works over night or does it take a while for it to work?
January 26th, 2010 at 11:56 am
The information here is great. I will invite my friends here.
Thanks
February 2nd, 2010 at 6:31 pm
Please, can you PM me and tell me few more thinks about this, I am really fan of your blog…
February 3rd, 2010 at 7:24 pm
Nice article. I find this info useful. Thanks a lot !
February 8th, 2010 at 5:31 pm
Congrats for all of this! Well done and a big THANKS for the tips!
February 11th, 2010 at 11:52 am
Love the site!
February 25th, 2010 at 4:26 pm
Super-Duper site! I am loving it!! Will come back again – taking you feeds also, Thanks.
February 26th, 2010 at 9:10 am
lol a number of the feedback bloggers make are such stoner remarks, many a time i ponder whether they really read the pieces and items before placing a comment or whether or not they take a moment to read over the title of the post and generate the very first thing that drifts into their minds. nonetheless, it is useful to browse sensible commentary every now and then instead of the same, traditional post vomit that i regularly discover on the net
March 2nd, 2010 at 11:40 pm
I usually don’t post in Blogs but your blog seems nice, impressive work.. beautiful …
March 4th, 2010 at 3:39 pm
It was a really nice thought! Just wanna say thank you for the selective information you have diffused. Just continue writing this kind of post. I will be your loyal reader. Gives Thanks over again.
March 5th, 2010 at 9:03 am
I can’t figure out how to subscribe to the comments via feedburner. I want to keep abrest of this, how do I do that?
March 6th, 2010 at 11:10 pm
Gotta love the effort you put into this blog
March 7th, 2010 at 1:00 am
oh cool, this information is really useful and definately is comment worthy! hehe. I’ll see if I can try to use some of this information for my own blog. Thanks!
March 7th, 2010 at 11:51 pm
Thanks for all the useful information. Your insight is very keen. Keep it up.
March 9th, 2010 at 4:29 am
http://www.gynsurgery.org, how do you do it?
March 12th, 2010 at 8:03 pm
Glad good old google led me here, how refreshing to find something worth reading.
March 15th, 2010 at 6:00 am
Intriguing, how would I make use of this?
March 18th, 2010 at 8:31 pm
I totally agree even though you have told only part of the “story”. Maybe I can contribute some other time to this post. Let me check the rest of this blog. Thanks. Elizabeth
March 21st, 2010 at 11:54 pm
Thanks for some great thoughts there. I am kind of new to online , so I printed this off to put in my file, any better way to go about keeping track of it then printing?
March 23rd, 2010 at 5:50 pm
Pretty entertaining post. Couldn’t be written much better. Browsing this post reminds me of my old friend. He constantly kept babbling about this. I will forward this post and I’m pretty sure it will be a good read for ‘em. Thanks for sharing!
April 2nd, 2010 at 5:30 am
That was stimulating . I love your quality that you put into your work. Please do move forward with more like this.
April 2nd, 2010 at 2:02 pm
Genial dispatch and this post helped me alot in my college assignement. Gratefulness you seeking your information.
April 8th, 2010 at 9:47 pm
Wow! Thank you! I always wanted to write in my site something like that. Can I take part of your post to my blog?
April 9th, 2010 at 8:33 am
Thank you for the insight. The post was worth every single minute reading it (plus the upcoming re-reads). Brilliant article.
April 9th, 2010 at 4:39 pm
Terrific post, many fascinating points. I remember 7 of days ago, I have discovered a similar article.
April 12th, 2010 at 10:55 am
Thanks for the info on my absolute favorite performer. I’ve been a huge fan for three years or more. Just wonderful.
April 14th, 2010 at 2:25 am
Let me tell you…absolutely my No.1 movie star right now. What an amazing performer. Just wonderful!
April 14th, 2010 at 11:08 am
Hey…thanks for that. Neat content. I’ll be coming back shortly for more updates. Thanks!
April 15th, 2010 at 1:04 am
My aunt suggested this site, and she was totally right in every way Keep up all the excellent work!
April 15th, 2010 at 2:25 am
Thank You, Thank You…I’ve been looking for this information. Everything I found anywhere else wasn’t near as thourough as this site. I’ll be back again…
April 16th, 2010 at 4:44 am
Interesting…and I agree with all of it. Keep up the great work…I will undoubtedly be back before long
April 17th, 2010 at 1:34 pm
I thought that was extremeley informative. Thanks for the cool information. I’ll keep following this.
April 17th, 2010 at 2:13 pm
I’ve bookmarked this because I found it interesting. I would be extremely keen to hear more news on this. Thanks!
April 17th, 2010 at 5:25 pm
Thanks I really needed this.
April 18th, 2010 at 7:21 pm
You need to really think about working on growing this blog into a serious player in this market. You obviously have a fundamental handle of the topics all of us are looking for on this website anyways and you could possibly even earn a dollar or two from some offers. I would look into following recent trends and raising the number of blog posts you put up and I bet you’d begin getting some great traffic in the near future. Just a brainstorm, good luck in whatever you do!
April 23rd, 2010 at 3:40 pm
Одессе, Днепре недвижимость недвижимость киев …
Авто в…
April 26th, 2010 at 3:25 am
I bookmarked this link . Thank you for good job !
April 28th, 2010 at 5:56 am
Cheers lots, I have found this article extremely useful!
April 29th, 2010 at 7:54 pm
Wow, I never knew that, much appreciated.
May 3rd, 2010 at 3:17 pm
Just wanted to post a thank you for taking your own time to write this page. It was not what we were originally looking for but it helped kill some time on a boring work shift.
May 5th, 2010 at 8:20 am
Very Cool Post…
[..] Earlier I was reading this useful blog post and I wanted to link to it. [..]…
May 6th, 2010 at 11:40 am
Nice post, thanks for writing!
May 7th, 2010 at 1:11 am
Great post. I have been searching for this exact info for a while now. I will bookmark it in the public bookmarking sites to get you more traffic.
May 10th, 2010 at 4:03 am
Great journey and experience!
May 11th, 2010 at 4:42 am
thank! for this news it’s a good infomation !
May 12th, 2010 at 11:33 pm
really appreciate YOU — thanks a lot!
May 13th, 2010 at 8:31 pm
@chels I know what you mean, its hard to find good help these days. People now days just don’t have the work ethic they used to have. I mean consider whoever wrote this post, they must have been working hard to write that good and it took a good bit of their time I am sure. I work with people who couldn’t write like this if they tried, and getting them to try is hard enough as it is.
May 14th, 2010 at 2:49 am
I admit, I force not been on this webpage in a extensive time… no matter what it was another gratification to observe It is such an important area of study and ignored not later than so tons, revenge oneself on professionals. I thank you to facilitate making people more hip of reasonable issues.
May 14th, 2010 at 9:58 am
Me and my comrade were arguing apropos an issue alike resemble to this! Sporadically I certain that I was right. lol! Thanks for the news you post.
May 17th, 2010 at 2:34 am
great experience, dude! thanks for this great
Articles wow… it’s very wonderful report.
May 18th, 2010 at 12:19 am
cheers lots, I have to say your site is amazing!
May 18th, 2010 at 3:20 am
Thank you for sharing I wish I could go somwhere.
May 18th, 2010 at 8:30 am
I would like to say “wow” what a inspiring post. This is really great. Keep doing what you’re doing!!
May 19th, 2010 at 7:46 am
hey great information your site contains will return when I have time to read more.
May 20th, 2010 at 6:27 am
Hiya from France! I have found your post on askjeeves. Interesting content! Jessica A. Wheeler x
May 20th, 2010 at 11:00 pm
Very good insights on the topic! I can really relate to this situation you have. It is an advantage that people have the opportunity to read this as I am certain a lot can relate to is as well.
May 22nd, 2010 at 1:43 pm
I just started reading your site – thanks for writing. I wanted to inform you that it’s not displaying correctly on the BlackBerry Browser (I have a Blackberry 9700). Anyway, I am now subscribed to the RSS feed on my PC, so thanks again!
May 23rd, 2010 at 3:54 am
Reading this was such a great help. It provided me all the information i need to know about anti aging skin products. Thank you very much for the new infos and advices.
May 24th, 2010 at 3:28 am
Wonderful journey and experience!
May 25th, 2010 at 12:19 pm
Nice information, many thanks to the author. It is incomprehensible to me now, but in general, the usefulness and significance is overwhelming. Thanks again and good luck!
May 25th, 2010 at 3:50 pm
Great stuff from you, man. Ive read your stuff before and youre just too awesome. I love what youve got here, love what youre saying and the way you say it. You make it entertaining and you still manage to keep it smart. I cant wait to read more from you. This is really a great blog.
May 26th, 2010 at 9:36 pm
Only want to say your article is as tonishing. The lucidity in your post is simply spectacular and i can take for granted you are an expert on this subject. Well with your permission allow me to grab your rss feed to keep up to date with succeeding post. Thanks a million and please keep up the good work.
May 27th, 2010 at 4:39 am
Thank you for such a fantastic blog. Where else could anyone get that kind of info written in such a perfect way? I have a presentation that I am presently working on, and I have been on the look out for such information.
May 27th, 2010 at 4:41 pm
http://www.gynsurgery.org’s done it again. Amazing read!
May 28th, 2010 at 12:32 am
Recently, I didn’t give so much thought to writing comments on blog entries and have left comments even less. Checking out your insightful page, will probably encourage me to do so more regularly.
May 28th, 2010 at 6:46 am
Are you kidding me? I’m not 100% sure I can go along with what you believe. But I will definitely be back to find out more soon.
June 10th, 2010 at 8:30 am
Checking out your insightful page, will probably encourage me to do so more regularly.