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Bilateral ovarian endometrioma, AMH 0.74
Both ovaries cyst reduced by 2cm each with dinogest 2mg for 2months and 4mg from last 1month. AMH 0.741
Experiencing mild pain very often and twice thrice in a day severe pain in lower abdomen. Brown discharge with black dirty material from last 4days. Cyst size right 4.5cm and left 3.6cm
Should i continue dinogest 4mg or go for laproscopy?
Answers (5)
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Dear mam
Endometriosis is a condition in which chocolate cysts form in the ovaries. Since you have mentioned AMH, I am assuming that you are planning for pregnancy. If that is true, further treatment and evaluation is necessary before taking this decision of medical or surgical management
Next Steps
Evaluate for fertility if pregnancy is desired, continue dienogest if unmarried
Health Tips
Always keep a track of your cyst size
Plan for a pregnancy early in your married life
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Go ahead with IVF straight if infertility is the concern
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Go for laparoscopy first and then you may require IVF...Dinogest may not work for such high grade endometriosis
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Dr. Jayashree Sharma
Gynecologist/Obstetrician
28 yrs exp
Chennai
Go for laparoscopy
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Dr. Shikha Jain
Infertility Specialist
20 yrs exp
Delhi
Go For IVF if you want baby
Go for laparoscopy if u don’t want baby
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.