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produce menopausal symptoms such as hot flashes and vaginal dryness, as well as temporary bone loss in the user, and should only be taken in conjunction with medications such as progestin, a synthetic form of progesterone, and/or a low dose estrogen, in order to alleviate the side effects produced. These medications are known as add-back hormone therapy. It is important to note that progestins can sometimes cause weight gain or depression in some women, you should discuss your concerns about all medical side effects with your doctor prior to beginning any regimen.


• IUD’s that contain progestin. These emit a type of progestin called levonorgestrel, which suppresses ovulation and reduces heavy bleeding and pain. The IUD must be replaced every five years in women under the age of 40.


Q – What about surgical treatments? A – Your doctor may recommend either a laparoscopy (outpatient surgery) or a laparotomy (requires an abdominal incision and hospitalization) to you as your best choice for treatment. The laparoscopic test that your physician utilized to determine your diagnosis may simultaneously be utilized to remove tissue and adhesions. Both can help evaluate the diagnosis of endometriosis and help remove abnormal tissue and adhesions.


Your doctor may determine that laparotomy, which involves making a much larger cut in the abdomen, will be more effective to remove endometriosis growths. Sometimes, these types of surgeries will enable a woman to become pregnant on her own without the need for additional infertility treatments. Conversely, infertility treatment can sometimes be effective without the need for an initial surgery of either kind.


In some cases, hysterectomy is recommended for women who have severe damage from endometriosis, or for those who are not interested in getting pregnant. In a hysterectomy, the uterus and sometimes the ovaries are removed. If you find


yourself requiring a hysterectomy, motherhood will still remain an option for you if you choose to consider third party reproduction and surrogacy.


It is important to remember that every case is different; you should discuss all of your options with your doctor and make the decision that makes the most sense for you.


Q – If you recommend surgery for me as a treatment, will I need to do additional rounds of surgery for every pregnancy I wish to pursue? A – Most likely no9


. While surgery often improves your


chances of getting pregnant, if you do not in fact conceive within a reasonable amount of time, taking your age into account, it won’t make sense for you to have a second surgery either to achieve a first or later pregnancy. In addition, the potential complications of surgery, while small, should be taken into account as well as the expense of having multiple procedures, versus undergoing infertility treatments multiple times.


THE RESOURCES LISTED IN THIS DIRECTORY ARE UNSCREENED AND SHOULD NOT BE VIEWED AS RECOMMENDATIONS OR ENDORSEMENTS, EITHER EXPRESS OR IMPLIED, BY THE AFA. 27


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