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Diagnostic laparoscopy vs. the pill?

Hi everyone, I'm new here โ˜€๏ธ

and I wanted to ask about your experiences with diagnostic laparoscopy.

Some time ago I went to see a endometriosis specialist and during an ultrasound she discovered something that "could very well be endometriosis but could just as well not be", as she put it (so basically a 50/50 chance I guess). (Actually had an appointment with her twice and she said so both times).

She said I was welcome to book an appointment for laparoscopy, but afterwards I probably would have to take the pill anyways, so I might just as well take it now and not go through surgery. The decision is completely up to me, she didn't make any recommendations.

I struggle to make a decision.
I experience so many symptoms that other women diagnosed with endometriosis experience (especially chronic fatigue) - sometimes I see posts by other women and these are my symptoms exactly.
However, my period doesn't seem to be nearly as painful as for some women affected by endometriosis. I find it to be really painful, but by no means am I close to fainting, like I've heard other women say.
I know some women go without any symptoms at all, but my other symptoms being so strong and the pain not being that strong (compared to other women)...? Is that even possible?
(I know, I should have asked my doctor about this ๐Ÿ˜…).

I also know, ultimately I have to take the decision based on what feels right to me, but I was hoping for some input; what are your experiences with diagnostic laparoscopy (particularly compared to taking the pill)?

Looking forward to your input! Have a lovely day ๐ŸŒธ

  1. Hi . Welcome to the community! It is a difficult decision, for sure. Laproscopy is the only way to get a definitive diagnosis, but it is surgery and surgery always comes with risks. On the other hand, there are benefits to having a diagnosis, including more targeted treatment, protection in the workplace should you need accomodations, documentation should it ever become so debilitating that you need to go on disability, and peace of mind (not to be underrated). Pain is not always a good measure of the extent of endometriosis or of the damage it might be doing internally to other organs. So you really can't go by that. The good news is that you don't have to decide right now. You can either have the surgery immediately. or take the pill and see whether it helps and then schedule surgery if you feel the need. I wish there were clearer, more definitive answers. I hope you get input from others in the community and that you come to a decision you can be confident in. Let us know what you decide, if you don't mind. I will be wondering how you are doing. Best wishes. - Lori (Team Member)

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