Is Laprascopy good for PCOD? Please advise

Hi

Recently my personal gynacologist deducted PCOD in me and had advised me to go

for laproscopy. Im not sure if it is correct to go for it. Since me and my

husband are planning to go for a baby sooner, she advised me so.

Need some advise to get to know if it is safe to go for laprascopy and will it

have any side effects in my health and for the baby later on.

FYI: Im 28yrs old, married since 3yrs and we have decided to go for baby now

only. All these days we had some other career commitments.

Looking forward for your advise.

Thanks in advance

Jayanthi

The procedure is termed ovarian diathermy or common name is

laparoscopic ovarian drilling. It is a surgical treatment that can

trigger ovulation in women with polycystic ovary syndrome (PCOS).

Laser is used to destroy parts of the ovaries. It is similar

philosophy as burning (radiation) or cutting (surgical removal) of

malignant tumors. Just as the heart of mother melts more for a

prodigal son, the body tries to give more attention, nitrition and

energy to an organ which is bleeding, lost its part or is invaded by

infection.

Ovarian drilling is usually done through a small incision in the

abdomen at the belly button. A small amount of inert gas is

introduced to inflate the abdomen so that the viewing instrument can

be introduced 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.

Destroying part of the ovaries has been reported to restore regular

ovulation cycles on a trial on 1000 women[1]. Studies of women with

PCOS have shown that ovarian drilling results in an 80% ovulation

rate and a 50% pregnancy rate. Younger women who are not obese may

derive benefit from laparoscopic ovarian drilling.[2]

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. Hence a straight statement can be exhaust all your

options other than surgery first.

On the other hand, risks include internal bleeding from the incision.

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.

Compare now with Ayurvedic management of PCOS, discussed by this

author in message 8353, 8414 and this post. PCOS is basically reduced

agni of ovaries (Insulin resistance) and hormonal imbalance

(increased ratio of FSH to LSH) due to which folicules mature but not

enough to be expelled out of ovary. There are various ayurvedic

medicines, procedures to bring back the balance of hormones and start

ovulation, if ovaries are not badly damaged. While an endocrinologist

looks at hormone levels and USG of ovaries to detect number and sizes

of cysts, ayurvedist will look at vitality, pulse, ovary size,

regularity disturbance in cycles, amount of excess fat etc. How bad

the dosha state is, the pulse will reveal. The curability of the

ovaries the pulse will tell. The agni can be judged by that of Nabhii chakra,

liver, spleen etc. If liver can be activated to release certain lipids (SHBG) it

helps hormonal balance, since excess androgens, a chracteristic of PCOD, can be

made bile-soluble and excreated through colon. Liver detoxes to this objectives

have been very helpful based on few patient experiences.

And it is stated earier than even 5-8% weight loss is also Okay to

restore ovulation, if lack of it was driven by excess xenohormones in

fat cells. The treatment modalities are simple and complex panchkarma

procedures and few medicines. medicines may also include morning walk

and few breathing techniques. If the cycles are regula but scanty or slightly

delayed, say upto 6 weeks, the treatments give faster results. Diet is an

important part, as also mental setup as explained in 3 posts titled " unexplained

infertility " earlier. If the mental setup is not ideal, even IVF baby may have

to be forcibly retained by injecting synthetic hormones every month during

pregnancy, as body does not release adequate Progesterone to retain the foetus.

Everyone wishes a magic pill for regularising cycles, for ovulation,

who will give magic pill for healthy and happy baby? For baby alone

it is not even necessary that ovaries may function. One can introduce

a dish fertilised ovum into uterus and uterus will take care of the

rest, if it gets attached, through ART techniques!

[1]American College of Obstetricians and Gynecologists (2002).

Management of infertility caused by ovulatory dysfunction. ACOG

Practice Bulletin No. 34. Obstetrics and Gynecology, 99(2): 347–358.

[2]Stegmann BJ, et al. (2003). Characteristics predictive of response

to ovarian diathermy in women with polycystic ovarian syndrome.

American Journal of Obstetrics and Gynecology, 188(5): 1171–1173.

ayurveda , " Jayanthi. C.P "

<cpjayanthi wrote:

> Recently my personal gynacologist deducted PCOD in me and had

advised me to go for laproscopy. Im not sure if it is correct to go

for it. Since me and my husband are planning to go for a baby sooner,

she advised me so.

>

> Need some advise to get to know if it is safe to go for laprascopy

and will it have any side effects in my health and for the baby later

on.

>

> FYI: Im 28yrs old, married since 3yrs and we have decided to go for

baby now only. All these days we had some other career commitments.

Hi Jayanthi,

Actually I had a differnt DX from my gyn. I was diagnosed with PCOD and he said

I had two options, 1 laprascopy 2 pregnancy, he said by getting pregnant my body

would re-absorb the cycts and then for the 9 months my body would heal, he said

the likely hood is they wouldn't return. In my case, before pregnancy, I had 5/7

large cyst, post pregnancy I've never had another. My doc worked at Mayo in

Chicago, if you are trying for pregnancy then start some really great

rejuvenated and strengthening and go for it (my opinion only) and my second

opinion although laprascopy causes less scar tissue, any surgery can cause long

term effects with scar tissue.

If your gut feeling is wait or not now then stick with it you know your body

best.

Kimberly

Jayanthi. C.P <cpjayanthi

Recently my personal gynacologist deducted PCOD in me and had advised me to go

for laproscopy. Im not sure if it is correct to go for it. Since me and my

husband are planning to go for a baby sooner, she advised me so.

Need some advise to get to know if it is safe to go for laprascopy and will it

have any side effects in my health and for the baby later on.