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Not all gynaecologists are experienced in looking for endometriosis deposits during laparoscopy. Occasionally a patient is told that the doctor was unable to find anything during their laparoscopy, even though endometriosis is present (and discovered in a separate procedure). This is because, depending upon the size and location of the endometriosis deposits, it may be hard for the doctor to find them. Endometriosis can grow deep inside parts of the abdomen, particularly in the Pouch of Douglas, diaphragm, or rectum, and finding them involves quite intricate examination. Sometimes it is possible to get a video tape or DVD of your laparoscopy. It is interesting and useful to see the laparoscopy yourself – although you may also find it upsetting. It is useful to have this video or DVD so that you and your doctor can look at it together in your follow-up appointment, or if you change doctors in the future, they can view the laparoscopy themselves. If the doctor suggests surgery you may wish to ask the following questions:
- If you find endometriosis, will you treat it at the time?
- What complications could arise?
- Under what circumstances would you perform a laparotomy or remove organs?
Remember – if you have any concerns about the laparoscopy you can discuss them at your pre-op appointment. Please see our section on diagnosing endometriosis
The following questionnaire provides a template for you to collect as much relevant information as possible to take to your doctor. Please click here to download.
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