Video Transcript
Dr. Rami Kaldas: There’s one patient from a few years back who came in and she was in her mid thirties and had a horrible, horrible period. So she was one of the symptomatic ones. Twenty-five percent of people with endometriosis, even stage four out of four, can be asymptomatic. But she was obviously individual. She had huge endometriomas in the ovaries. They were about seven centimeters each, endometriotic cysts in the ovaries. She had them everywhere – on her bowel, on her diaphragm – everywhere.
And we did the surgery. It took four hours. I mean, it was and through and it was three, five, you know, it was a two five-millimeter incisions and a ten-millimeter incision. So there’s three incisions. She went home the same day. We peeled out meticulously these endometriomas. We made sure her tubes were open. We got rid of all the endometriosis. Some of it was on the diaphragm. And she was pregnant, I believe, six months, five months after that. She had been trying for, I believe, seven years.
And so the thing is, if that kind of person, they wouldn’t have even accepted for IVF because she’d had these huge endometriomas or the recurrent pregnancy loss. You know, someone who’s had five consecutive losses. And it’s just that no one has ever noticed she has a uterine septum, for example. And I have several of these, you know, coming from Michigan and from, you know, Illinois, from…from central Wisconsin, all over. They go through all these losses only to discover, oh, there’s this uterine septum and oh, well, you can actually do something about that.
But the usual story they’ve gotten, even if it were discovered, is that well, this will cause you to have about a forty percent chance of miscarriage or severely premature delivery. Well, let’s go ahead and just have you get pregnant again and see what happens.
This is where we just take out the septum. It’s very straightforward with operative hysteroscopy. And then we actually try to have them become pregnant the next month.
That makes a huge impact. All right. Because these miscarriages, they don’t get any easier after you’ve had several.