Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

Editor’s note: This week brings us the first contribution from Henci Goer. Henci will be a regular contributor to Science & Sensibility, and continues to respond to reader questions on the Ask Henci Forum. – AMR

I was pulling together studies for the chapter on cesarean for Amy’s and my new edition ofObstetric Myths Versus Research Realities when I ran across an e-mail in my files from Carol Sakala of Childbirth Connection containing some citations on case reports and series about endometriosis developing in the cesarean wound. When I followed up on them, I discovered that the obstetric literature is peppered with these reports.

This is no trivial problem. Women experienced cyclic pain, which could begin—or at least become severe enough to seek treatment—anywhere from months to years after the delivery. In rare cases, the consequences were catastrophic: there were reports of uterine wound endometriosis that caused intractable hemorrhage leading to hysterectomy and cases where endometriosis devolved into fatal cancers. Authors agreed that endometriosis probably developed from cells from the uterine lining being seeded into the wound during the cesarean surgery, a theory bolstered by most cases occurring in women with no history of endometriosis. They also uniformly agreed that the only effective treatment was wide excision of the affected tissue. Sometimes surgery was so extensive that it required grafting. Doesn’t that sound pleasant? Some series authors reported rates in their populations, which ranged from less than 1 to 5 per 1000 women with cesareans, but this is almost surely an undercount, seeing as cesarean wound endometriosis can develop years later, not every woman would seek medical attention, some would not be correctly diagnosed, and some would decide against treatment once they heard the cure. As the authors of one case series wrote, “Invariably, on discussing the topic with colleagues, each clinician can recall one or more personal cases of his own” (p. 94) (Wolf 1989), and that, of course, wouldn’t include the women who were suffering in silence.

So why is this reasonably common serious adverse effect of cesarean surgery something you have never heard of? At least, I hadn’t, and keeping up with the med lit on these things is what I do. The answer lies in what “counts” or doesn’t as worthy evidence. Cesarean wound endometriosis would never turn up in a randomized controlled trial (RCT). Even if the problem made it onto the researchers’ radar, the trial would have to be extremely large and follow-up impractically long to detect it. Where RCTs are considered the only evidence worth having, outcomes that cannot be picked up on by RCTs functionally don’t exist.

“But,” you say, “we now have some excellent large-scale prospective studies and database analyses of postpartum morbidity according to mode of birth. Why hasn’t cesarean wound endometriosis shown up in them?” Prospective studies depend on what outcomes investigators decide ahead of time to look at and databases are limited to the information collected in them. You don’t ask the question; you don’t get an answer, which, again, renders cesarean wound endometriosis invisible.

The moral of the story is that different study designs are good for different things. Case studies and series may be the humble bottom of the evidence pyramid, but they are the only design that can alert us to serious adverse outcomes that demand more investigation. Now you know about this one. Spread the word. Someone in the research world may be listening.

Click on the extended post for the bibliography. 

References 1989 and later (there are earlier ones I didn’t retrieve)

Bumpers, H. L., Butler, K. L., & Best, I. M. (2002). Endometrioma of the abdominal wall. Am J Obstet Gynecol, 187(6), 1709-1710.

Eogan, M., & McKenna, P. (2002). Endometriosis in caesarean section scars. Ir Med J, 95(8), 247.

Gajjar, K. B., Mahendru, A. A., & Khaled, M. A. (2008). Caesarean scar endometriosis presenting as an acute abdomen: A case report and review of literature. Arch Gynecol Obstet, 277(2), 167-169.

Gaunt, A., Heard, G., McKain, E. S., & Stephenson, B. M. (2004). Caesarean scar endometrioma.Lancet, 364(9431), 368.

Gunes, M., Kayikcioglu, F., Ozturkoglu, E., & Haberal, A. (2005). Incisional endometriosis after cesarean section, episiotomy and other gynecologic procedures. J Obstet Gynaecol Res, 31(5), 471-475.

Kafkasli, A., Franklin, R. R., & Sauls, D. (1996). Endometriosis in the uterine wall cesarean section scar. Gynecol Obstet Invest, 42(3), 211-213.

Kaloo, P., Reid, G., & Wong, F. (2002). Caesarean section scar endometriosis: Two cases of recurrent disease and a literature review. Aust N Z J Obstet Gynaecol, 42(2), 218-220.

Leng, J., Lang, J., Guo, L., Li, H., & Liu, Z. (2006). Carcinosarcoma arising from atypical endometriosis in a cesarean section scar. Int J Gynecol Cancer, 16(1), 432-435.

Luisi, S., Gabbanini, M., Sollazzi, S., Calonaci, F., Razzi, S., & Petraglia, F. (2006). Surgical scar endometriosis after cesarean section: A case report. Gynecol Endocrinol, 22(5), 284-285.

Minaglia, S., Mishell, D. R., Jr., & Ballard, C. A. (2007). Incisional endometriomas after cesarean section: A case series. J Reprod Med, 52(7), 630-634.

Olufowobi, O., Sorinola, O., Miller, S. J., & Condie, R. G. (2003). Scar endometrioma: A cause for concern in the light of the rising caesarean section rate. J Obstet Gynaecol, 23(1), 86.

Patterson, G. K., & Winburn, G. B. (1999). Abdominal wall endometriomas: Report of eight cases. Am Surg, 65(1), 36-39.
Phupong, V., & Triratanachat, S. (2002). Cesarean section scar endometriosis: A case report and review of the literature. J Med Assoc Thai, 85(6), 733-738.

Sholapurkar, S. L., Sharp, N. C., & Hirschowitz, L. (2005). Life-threatening uterine haemorrhage six weeks after caesarean section due to uterine scar endometriosis: Case report and review of literature.  N Z J Obstet Gynaecol, 45(3), 256-258.

Wicherek, L., Klimek, M., Skret-Magierlo, J., Czekierdowski, A., Banas, T., Popiela, T. J., et al. (2007). The obstetrical history in patients with pfannenstiel scar endometriomas–an analysis of 81 patients. Gynecol Obstet Invest, 63(2), 107-113.

Wolf, G. C., & Singh, K. B. (1989). Cesarean scar endometriosis: A review. Obstet Gynecol Surv, 44(2), 89-95.
Zhu, Z., Al-Beiti, M. A., Tang, L., Liu, X., & Lu, X. (2008). Clinical characteristic analysis of 32 patients with abdominal incision endometriosis. J Obstet Gynaecol, 28(7), 742-745.

66 Comments

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

May 13, 2009 07:00 AM by Gretchen Humphries
Thank you Henci for bringing this "secret" complication to light. Those of us active in ICAN (International Cesarean Awareness Network) have known about incisional endometriosis for years....many of us suffer from it to varying degrees. I would have to say, even though my knowledge is "anecdotal" (and thus suspect) that this is a problem that doesn't seem very unusual or rare at all. Gretchen Humphries Advocacy Director, ICAN advocacy@ican-online.org http://ican-online.org

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

May 15, 2009 07:00 AM by KnittedintheWomb
I had a friend who had a cesarean for her first birth--her Dr. broke her water to induce labor, and a couple of minutes later she was spilling blood all over the bathroom floor as her placenta started abrupting. Shortly after the birth she began suffering from endometriosis. She said that it was so bad when she was ovulating that she would cry from the pain. She started taking hormonal birth control to supress her ovulation (and because it tends to reduce the growth of the rogue tissue) because of this. But the really sad thing was that when she was ready to conceive baby #2 (and then #3), well of course she had to go off the birth control. And have sex when she was in intense pain. She said that it was hard for her husband to even do his part...because its not like having your wife fighting back tears is particularly "arousing."

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

May 16, 2009 07:00 AM by Henci Goer, BA
I have been thinking: maybe ICAN (International Cesarean Awareness Network) could survey its members about chronic pain after cesarean. It would be interesting to know how long ago women had the cesarean--I'd suggest limiting the survey to at least 6 months out--how often women were experiencing pain, how severe, how much it interfered with their daily lives, how much it affected their sex lives, and whether it was new onset or an old problem that the cesarean (or accumulating cesareans) made worse. It wouldn't be scientific because ICAN members are a self-selected group of women who would be more likely to be dissatisfied with their cesarean, and survey responders would be more likely to be women experiencing pain. Nonetheless, it would definitely be a step in the right direction of revealing this hidden burden of cesarean surgery.

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

November 6, 2009 07:00 AM by Science & Sensibility » Baby it hurts: birth practices and postpartum pain
[...] The Childbirth Connection survey did not ask about endometriosis, a common cause of chronic pelvic pain, but a growing number of case reports strongly suggest that cesarean surgery is associated with new-onset endometriosis. [...]

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

January 17, 2010 07:00 AM by Ronda
I have had 2 c sections, 20 and 16 years ago. About 5 years after my second one I began having pain any time I engaged my abdominal muscles during my cycle. Over the next 2 years the pain increased during my cycle to having extreme pain on slightly bumping my abdomen, bending, stretching, shooting/pinching pain...really just any use of my abdomen during my cycle. Then the worst pain began occurring during the next two weeks after menstruation stopped. As the years have passed it has progressed to pain most of the time and I have to take Aleve most days to be able to function normally. Could I get some feedback on how successful surgery has been for others with this same problem?

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

January 19, 2010 07:00 AM by Henci Goer, BA
I have 6 studies that looked at recurrence rates. All together, they comprise 101 cases of surgically treated post-cesarean endometriosis, and 5 women had a recurrence (5%). In two studies, duration of follow-up was unknown. A third reports an average follow up of 22 months. The fourth, a report of a single case, was followed up for 2 years with no recurrence. In the fifth, follow-up time varied from 5 months to 6 years in the 32 women. In the sixth, follow-up time was not reported, but they say one woman returned for surgery 9 years after the first one after developing a new case on the opposite side of her scar. So you can see that follow-up may not be long enough to establish the true rate of recurrence. It is also possible that some women might have had a recurrence and decided against repeat surgery.

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

February 8, 2010 07:00 AM by Victoria Buchanan
I am a 32 y/o G 2 P 2 s/p C-section 10/2001 for failure to progress and failed forceps / vacuum delivery, repeat C-section 12/2003 w/ bilateral tubal ligation. Approximately 2 1/2 yrs ago I began having lower left sided abdominal / pelvic / groin pain. The pain radiates into my groin / labia area and seems to be cyclical in nature w/ the peak during the time that I ovulate. Treatment has included ibuprofen, Lortab, Birth control pills, heat/ice, Chiro and several injections. I finally saw a surgeon today and plan to have an exploration and scar revision in hopes to uncover a endometrioma and have it removed. If it is not an endometrioma (which would really surprize me) it may be adhesions along either the ilioinguinal or genitofemoral nerves, either way, surgery will be necessary or else continue suffering. The pain I have is intensified w/ sitting and sometimes limits me to laying on my right side. Even as a nurse, I had no idea what "late effects" these c-sections could have on me. I DEFINATELY think more research should be done. It would not surprize me at all if the incidence of scar endometrioma increases as more and more women today undergo c-sections as compared to many years ago.

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

February 9, 2010 07:00 AM by Henci Goer, BA
I think it is a safe bet that more women are experiencing this complication as currently, one in three U.S. women is delivered via cesarean surgery. I hope that you make a speedy recovery from your upcoming surgery and that it resolves your problems permanently.

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

April 26, 2010 07:00 AM by Denise Vokey
I have been searching for answers for 7 months now since the cesarean delivery of my first child. My abdomen is still tender to the touch, I have constant pain and now realize the absolute debilitating pain comes with ovulation and my period. I was always healthy with a normal cycle up until now. I fear it may be adhesions and more than once thought perhaps it's endometriosis. When I asked my OB/GYN, she replied "Why would you suddenly develop endometriosis?" Well, because you cut my uteris! I have undergone many series of tests with no results. The doctor's say they are puzzled but just leave me feeling it's all in my head. This is the time I should be cherishing with my baby girl, but most times it's Daddy, or Grandma's who have to take care of her because Mommy simply cannot. I am so glad I found this information. I will be armed with it at my next doctor's appointment!

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

May 3, 2010 07:00 AM by Monique
i'm glad i stumbled upon this website. i'm convinced now i need to make an appointment with a general surgeon and plead my case. it's been 4 months of GP visits, and gyno visits, and 2 ER visits. it's been 3 CTs, a pelvic ultrasound, and a colonoscopy. the best diagnosis anyone's managed is "irritable bowel syndrome", even though i keep insisting that my pain is not affected by food or bowel movements. the missing piece, i think, is that my external c-section scar doesn't match my internal one. it's a transverse bikini scar on the outside, but an old school classical on the inside. the chronic pain i'm suffering from is well above the bikini scar, but within the area of the classical vertical cut on the inside. the pain is debilitating and i'm tired of doctors shrugging and telling me i need more fiber. this thread has convinced me i need to demand a laproscopy, because all the imaging tests have shown nothing so far. thanks for info. as far as research goes, doctors at research hospitals need to get new mothers who had unplanned c-sections to sign on to long-term studies that only involve checking some "yes" and "no" boxes on a postage paid card every six months or so. i really think there is something to this...and that there have been many misdiagnoses.

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

May 7, 2010 07:00 AM by Monique
did you see the doc yet? any word? @Denise Vokey

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

June 2, 2010 07:00 AM by Denise Vokey
@Monique I see my doctor tomorrow. Fingers crossed. Am thinking about an MRI. Would that show more? Will post more later.

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

June 2, 2010 07:00 AM by Amy M. Romano, RN,CNM
@Denise Vokey Please do let us know how your doctor visit goes. I'm so glad this thread is here for you and Monique to find each other, connect, and share your experiences.

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

June 4, 2010 07:00 AM by Denise Vokey
@Amy Romano I saw the doctor yesterday. I was in huge pain when she walked into the office. She seemed stunned at my discomfort. I mentioned endometriosis, she agreed it could be an explanation. I then asked about an MRI, she said it may show something, but would be awhile to get an appointment (I live in Canada where public healthcare is great, but can mean wait times). I said I was willing to go to the US and pay for a private clinic. She was shocked at my determination! She is going to check with radiology here first to see if she can speed up the process. She also gave me a prescription for the pill. I did give her a note with this web address, another that I found on this subject and the web address for the MRI clinic I was looking at. She said she will call next week. Once again, I wait! Check out www.lifeaftercesarean.blogspot.com

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

June 6, 2010 07:00 AM by Henci Goer, BA
@Denise Vokey I am following your story too. Please continue to keep us posted. I would be happy to know that my post had helped you on the way to obtaining relief from your problem.

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

June 9, 2010 07:00 AM by Kimberly Hamilton
@Victoria Buchanan I have been going to my family practice doctors for two years after first and only c-section for constant abodominal pain. Finally they referred me to an OB/GYN. Nothing has shown up on my CT's or ultrasounds, however, after finally undergoing a Laporascopy, the doc found endo and everything is adhered to my abdominal wall. My OB right now, will give me the choice to resolve this with either hormone treatment and/or further surgery. I have been told that further surgery was really the only way to correct the situation. Any comments or advice?

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

June 10, 2010 07:00 AM by Henci Goer, BA
I am not a clinician, but it would seem to make sense to try the less aggressive treatment first (hormones) and resort to surgery if it doesn't help--or at least help enough that you are willing to live with the problems that remain.

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

June 27, 2010 07:00 AM by Denise Vokey
I am going to start on the pill tonight. I will see if it does have an effect, especially if I'm no longer ovulating. A colleague of my husband, who is an MD suggested a lap is really the only way to go. We will give the pill a shot first for 3 months. It will be 9 months this week since my section and there are still times I am convinced that my incision is going to burst open. I'm sick of this.

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

June 29, 2010 07:00 AM by Henci Goer, BA
I hope this works for you and that your husband's colleague is wrong in your case. Let us know how it goes.

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

July 29, 2010 07:00 AM by Denise Vokey
Well, it's been a couple of months on the pill. Some side effects, but still pain. Having a laparoscopy in a couple of weeks.

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

July 31, 2010 07:00 AM by Henci Goer, BA
Thanks for the update. We're pulling for you. Please keep us posted.

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

September 8, 2010 07:00 AM by Nickie
I am a G2P2, 1st baby c/s for breech, 2nd baby vbac (proud to say). About 2 1/2 yrs after my c/s I begain to notice a large lump at the c/s incision. There had always been a knot there but over the 2yrs became larger. My doctor performed an ultra sound & diagnosed me with endometriosis. I also had other symptoms prior to that for about a yr of pain during intercourse, painful and long cycles and pain during bowel movements. I had never had any problems prior to my section. I had an ablation soon after the diagnosis and my doctor said there was minamal endometrium growth elsewhere but a moderate amout of course at the incision. My doctor was easy to say that I would have a hysterectomy as an end result over the course of the next few years. I was 34 at the time & this did not set well with me. Shortly after the surgery I was put on birth control for 4 months & stoped to try to get pregnant, which I did immediately. I gave birth 3 months ago & have already started back with long periods of bleeding (34days so far) while on birth control. My doctor has put me on estrace for 30days every day along with the birth control. I have attempted several conversations with my OB about this being a direct result of the C/s but he is not responsive. I would love to see this topic studied more. This could maybe lessen the amount of "elective" or unnecessary c/s from happening. I am a postpartum nurse that sees a lot of unnecessary sections performed. For me it was necessary, but I never knew that endometriosis was a risk. Thank you for having this topic discussed. I think it may help people understand what perhaps they may be going through.

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

September 10, 2010 07:00 AM by Henci Goer, BA
Thank you for sharing your story. It makes me feel good to know that women have found my blog post helpful. Perhaps the reference list that accompanies the post might convince your OB that endometriosis can arise as a result of cesarean surgery.

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

September 15, 2010 07:00 AM by Keren Jones
I came out of hospital one month ago, i went in with what was thought was a hernia. Turned out to be Endometriosis, on my c section scar. I had my last child 5 nearly 6 six years ago and have been suffering since his birth.

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

September 21, 2010 07:00 AM by Kristen
Wow I was just sitting here thinking "I wonder if my c-section could have caused my endo" and so I googled it, and there was this discussion... It sure makes sense. I had my son in 2005 and didn't go to the doctor for menstrual pain until the summer of 2009. After a couple of wrong diagnoses, a month of birth control, 5 ultrasounds, and a doctor switch (for second opinion) I finally had a lap surgery in March 2010 followed by 6 months of Lupron (last shot today!). It really makes me think back to my decision to be induced, thus causing my need for an emergency c-section and causing all this stuff. UGH I wish I would have been more patient.

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

September 23, 2010 07:00 AM by Henci Goer, BA
I hope you have now made a complete recovery. It may help to remind yourself that you made the best decision you could given the information you had at the time.

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

October 8, 2010 07:00 AM by Denise Vokey
Well, after being delayed twice, I finally had my diagnostic laparoscopy. They didn't find anything. Once I was told this after they woke me up from the surgery, I began to sob. The nurse tried to make sense of it and make me feel better by saying that my ovaries and everything else is healthy and that's a good thing. I agreed that yes it is a good thing, but you don't understand. This was my last hope that something would be found and I would be on the road to recovery and validated! Now what? I guess the blame is going to shift to me, the patient now. I have an MRI today. Last test. Fingers crossed.

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

October 8, 2010 07:00 AM by Henci Goer, BA
I'm sorry you have had this major disappointment. Stay strong. The fact that your doctors haven't been able to identify the cause of your problem doesn't make it any less real or valid. Please let me know the results of your MRI.

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

October 11, 2010 07:00 AM by Science & Sensibility » Do Cesareans Cause Endometriosis (Redux): What could patient-drive
[...] highly recommend you read the original post and all of the comments, but you can also get a flavor by looking at this excerpt of the [...]

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

October 11, 2010 07:00 AM by Twin Mommy
Denise: Did your doctor ever discuss plain old incisional pain with you? They will also call it neuropathic pain. My doctor told me my c-section scar could hurt for up to TWO years after surgery. Of course, no one bothered to mention this BEFORE my c-section. And hurt it does -- a lot. Anything that causes pressure in that area (gas, bloating, ovulation, constipation) causes INTENSE pain. There are days where it is difficult to function because it's so painful it hurts to walk. I was told there really isn't anything that can be done for it other than to take stronger painkillers. I was prescribed Vicodin, which won't take because developing a prescription pain killer addiction isn't my idea of a plan. Now that two years has passed, it has gotten much better than it used to be. So don't think you are crazy -- you are not the only one suffering from this. Just cause there is no endo doesn't mean you are not experiencing pain.

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

October 12, 2010 07:00 AM by Henci Goer, BA
FYI: One thing that helps to distinguish cesarean scar endometriosis from other causes of pain is that it tends to be cyclical.

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

October 12, 2010 07:00 AM by Denise Vokey
Thanks for all that info. My doctor just called. On the upside I have "gorgeous ovaries". Next step, she is going to refer me to a chronic pain specialist to try to deal with this, drug free.

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

October 12, 2010 07:00 AM by Participatory Medicine Grand Rounds | e-Patients.net
[...] outcomes that cannot be picked up on by RCTs functionally donít exist.” Goer’s post on the subject drew comments that “turned into a rich source of qualitative data on the quality of life [...]

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

October 25, 2010 07:00 AM by Henci Goer, BA
I'm sorry it has turned out that there isn't a straightforward fix. I hope the pain specialist will be able to help you manage the pain and that, as "Twin Mommy" found, it gets better on its own with time.

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

January 9, 2012 07:00 AM by Henci Goer, BA
I am not a doctor or midwife, so I cannot give you specific advice, but I can tell you that the authors of all the medical journal articles I have read on cesarean scar endometriosis (also called "endometrioma") agree that the only curative treatment is wide excision of the endometriotic tissue. Whether that can be done as a "keyhole" surgery is a question for your ob/gyn.

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

January 9, 2012 07:00 AM by Yvonne Ricketts
I am a mother of 2 and have had two c-sections. The first in 2002 was an emergency section due to a placental abruption. Everything was fine after this then I had another c-section in 2007. I had a drain fitted after for a few days then after release from hospital I got an infection in my scar so had to go back in. After the section I was told there was a lot of scar tissue and if I had another section it would have to be done at 37 weeks to avoid any complications. After this there was a small hole left in the scar which bled with every cycle. After 10 months of this I finally had an operation in which they said they had found quite a lot of endometriotic tissue which they removed. Everything was fine for a couple of years then started to get pain in my scar. I went to the doctor and she referred me to a gynaecologist. I had a tissue scan which showed where the blood was apparently leaking from and where it was pooling. I was told that I could have surgery but advised against it because it would most probably come back, so at the moment I am running my Microgynon packs through and having a period every 3 months so I don't get the pain as often and was told to take some Ibuprofen to ease the pain. Also, when I do get my period I only bleed for about a day and then nothing, but have the pain for about a week. I'm not sure if I should just carry on like this or try having keyhole surgery as I read this is the best way to get rid of the tissue. I haven't had this done before because my scar was cut open in the last surgery. Its great to read other stories and know that I'm not the only one suffering since a c-section! Any advice would be great thank you.

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

March 13, 2012 07:00 AM by sam kelly
hi , i have just been told that i may have endometriosis in my c-scection scar, they have told me that a historectomy is the best option , i feel a little bit unsure as the consultant is not sure if it is that or not, help i am not sure what to do any sugestions

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

March 14, 2012 07:00 AM by Henci Goer, BA
@sam kelly The case reports and series all reported removing the endometriotic tissue surgically, not hysterectomy. I think your best bet is to get a second opinion from someone not connected with the doctor who is recommending hysterectomy, that is, not in the same office or recommended by this doctor. That way, the new doctor will feel less uncomfortable with disagreeing with the first doctor, and you can feel more confident of the opinion if the new doctor agrees. As for the content of the discussion, in order to make an informed decision, you need to know the benefits and potential harms of all your options, including doing nothing. You may want to get this information from your current doctor as well as the one giving you a second opinion.

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

April 24, 2012 07:00 AM by Stephanie
I have been having pain on my left side - just left of center below bellybutton and straight up and down from top of scar to underside of bellybutton. The pain began after I started menstruating again about 6 months after my c-section. The pain is directly related to my cycle and has been present with every cycle I've had since the c-section. The pain is not crampy - it is more of a pulling or strain. I have been to my primary who ordered a sonogram which came back normal with a left ovarian folicle - which i was told was normal and shouldn't cause pain. My OB agreed and thought that what i was describing sounded more like intestinal problems - she told me that where i was pointing... was not near my uterus. I had inquired at that time about any chance of complication from C-section - or possibility of it not healing properly. she dismissed my questions saying my scar looked fine. So back to the primary and just had a pelvic CT today. that came back with same reading as sono "left ovarian folicle". i am starting to get frustrated - Any suggestions for talking to my OB about this subject... Many thanks

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

April 25, 2012 07:00 AM by Henci Goer, BA
@Stephanie Clearly you have a problem for which you have as yet no definitive diagnosis. If I were in your shoes, I would want to know what were the possible causes of my symptoms, what had been eliminated by the tests I had already had, and how my doctor planned to go about ruling the others in or out. I would also make sure that cesarean scar endometriosis and adhesions were on the list.

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

June 7, 2012 07:00 AM by Jenny
I had a cc 5 years ago and a second cc 2 years ago. After my second c-section I noticed a tiny ball at the corner of cc scar on my right side. I asked my Gyno and I was given the story that it's perfectly normal after a csection etc. In the mean time I was laid off work with no insurance so I had to "ignore" what was going on since i could not afford a surgery. My "ball" has since grown and becomes extremely painful during my menstrual cycle. The area becomes very swollen and sensitive as well. There have been mornings where I can not get up from bed due to the excruciating pain. I have cried, I have missed spending time with my kids and even missed work due to the pain. I still don't have insurance but have worked out a payment plan with my Dr. I have a 3.5 cm endometreosis mass tissue which literally points out of my body. Pants, skirt, shorts, even underwear become painful to wear during my period because it rubs against the ball. My doc put me on birth control which has alleviated my pain a great deal due to the hormones. I hope to have the surgery completed in thenext 2 weeks and begin to have my life back to normal.

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

June 11, 2012 07:00 AM by Kristen
I've had 2 C-sections. After my daughter was born, 11 years ago, I started to have pain every once in awhile. I finally narrowed it down and figured out it was always the first few days of my period. Eventually, about 4 years ago, I noticed I had a huge lump on my right side. The pain progressively got worse each month. I went to the doctor and they thought it was a hernia. I had an MRI and was told it was just scar tissue from my c-section. Last year the pain had increased so much, I tried again, going to my gyno- she had them do an ultrasound- thinking maybe it was a cyst or fibroid. The ultrasound technician told me the same thing as the mri- it's just scar tissue. But, the doctor sent me back the next week for another ultrasound- thinking maybe at a different time in my cycle- maybe something would turn up. It was the same ultrasound tech from the week before and she was not happy to see me. She told me maybe I was causing the pain myself or it was in my head. I was so upset, I never went back to the doctor. I started googling my symtoms- which led me to endo. This last month- the pain was so bad and the time of pain increased from 2 days- to now, over 11 days. I went back to the gyno, but saw a different one, who was on call for my regular gyno. He asked me how long I'd had the pain and I said years- he said if no one had been able to help me, he doubted he could. I felt defeated. He didn't even want to listen.......But I said something about endo- he told me not likely, he looked at my ultrasounds from the year before and said he didn't see anything. I told him there was a lump they said was scar tissue and he seemed to pay a little more attention. He told me there shouldn't be any scar tissue. As he was getting ready to walk out, he asked me if the pain was just around my period- which I explained, again, was right. He said he has only had one patient have endo related to c-sections. As I was getting ready to leave- thinking I was stuck with the pain forever..... He handed me a paper with the name of a surgeon. I saw the surgeon today. He said after feeling the lump he is sure that it is endo. I finally get to have surgery next Monday. I'm hoping this nightmare is finally coming to an end.

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

June 13, 2012 07:00 AM by Henci Goer, BA
I am sorry that you have had to go through this dreadful and frustrating experience. I too hope that your nightmare is at an end. I wish you a smooth and speedy recovery.

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

July 19, 2012 07:00 AM by Michelle
Mother of 2, both Caesars, in 2004 and 2006. I've had small pain at one end of my scar for a few years now, after seeing my GP, she sent me for an ultra sound, and after a further consultation, it was decided hat I just had an infection and 'take these anti biotics'. The pain didn't subside, in fact, I get it more regularly than my period time, and it's a sharp pain that often takes my breath away and renders me immobile. After extensive Dr Google searches, I found quite a bit of online literature, and took it to the doctor with me. She was hesitant, but referred me to a gyno/ob. I have that appointment today, at which point she could feel the mass (as could I!!) when she pressed around my scar. I am now booked in for surgery to have an excision of that, and the gyno agrees. My concerns now lay in how disfigured my abdomen will be, will there be significant lumps and bumps?? I already loathe the scar, so I'm concerned. Also, what are the chances of it returning. I have quite a large fear of hospitals, more than the average person, and I don't envisage returning. Nor do I want to go ahead with the operation if it's only going to return later. Admittedly, life without the pain will, of course, be so much better, but what are the chances of it returning? I have had no previous problems, or endometriosis diagnosis. Any help?

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

July 23, 2012 07:00 AM by Henci Goer, BA
I can't tell you what the scar will be like. That is a question for your clinician, but the research reports a recurrence rate of 4-9%.

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

July 25, 2012 07:00 AM by Bronwyn
I have a 3.5cm x 3.5cm caeserean scar endometrioma. I am having surgery to remove it next Thursday and was wondering if anyone knew what the procedure was and how long the recovery is?

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

July 26, 2012 07:00 AM by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA), CLE
Bronwyn, best of luck for an uncomplicated procedure and an easy recovery. I encourage you to have a conversation with your health care provider in advance in order to have your questions thoroughly answered, provide you with a clear explanation of the procedure and go over the benefits and risks that you may face. Your health care provider is in the best position to explain the circumstances of your specific situation and decisions that affect your options and choices.

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

August 19, 2012 07:00 AM by rosy
@sam kelly I have same problem. Just a scar excision followed by gnrh analouge treatment should be sufficient

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

February 11, 2013 07:00 AM by Lucy Fensom
Hi, I gave birth nine years ago in Israel to my only child, a boy, and was extremely unfortunate as I had the worst medical team - it has taken me years to try to get over it emotionally and without going into great detail basically I was very poorly treated and ended up being sliced open with a scalpel to perform the caesarean op (I felt all three incisions until I passed out). Obviously I tried with all my heart to tell the Russian anaesthetist but he just said 'impossible',in the end I screamed as I no longer cared if I lived or died. When I was woken up almost two and half hours later I was in excrutiating pain both in my lower abdomen and down below. It transpired they'd opened me up to take the baby out but found his little head too far down apparently so delivered him vaginally with forceps and made a mess of the Episiotomy aswell. I later found out that I had started to haemorrage (sorry if not spelt correctly) and they'd had to call out the Head of Department for help.The story doesn't end there, even my own mother was lied to with regards to how the baby was finally delivered; one of the surgeons kept telling her that it was by C section... Anyone reading this can be forgiven for not believing it as most people struggle to believe it as it is so horribly shocking. Luckily, I am a quite a strong woman, I've had to be and I have a gorgeous 9 year old boy, thank God. But now, at age 42, I've had the most severe and awful internal pains, feels like crushing and pressure inside me and it's slowly worsened over the past 10 months or so. Everyt period is utter agony now and bowel movements almost feel like giving birth, they are so painful. I had been to four different gynaecologists (all in Israel) who all said it was a fibroid that I have although it's only quite small but they said it was the location of the fibroid that was causing all the problems. One was ready to do a hysterectomy, two said leave it and the other wanted to try a myomectomy. Finally I went for a 5th opinion (also in Israel) - the latest doctor listened to my story albeit in shock, he examined me, checked the fibroid and said he suspected Endometriosis and couldn't believe how every other gynaey had missed it. He said in his opinion he did not think a 4 cm fibroid could be causing all that pain every month and in addition I have the most horrible, strong head pains on a daily basis that even strong prescription medicine fails to help it, I find the head pains the most debilitating thing as I can't function normally (not sure if it could be a part of Endo? had a CT scan which was all clear) and they are daily whereas all the other pain tends only to be during my period but that is a killer too and I dread getting my period but I would not want a hysterectomy yet. Anyway this latest doctor sent me for blood tests and has since said the results strongly indicate Endometriosis. He has now gone abroad for a week but I will see him again after the 24th but he has said he think he is probably going to have to operate. Thank you for reading and wish all of you all the best, Any opinions gratefully received. Lucy

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

February 11, 2013 07:00 AM by Henci Goer, BA
@Lucy I am sorry that you have had this dreadful experience. I hope that this new doctor has correctly identified the problem and you are on your way to effective treatment and a complete recovery. I find myself thinking about the psychological impact of what you have gone through. If you are also experiencing emtional fallout, you may find Solace for Mothers helpful. It is an online support group for women who have had traumatic births. The URL is http://solaceformothers.org/.

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

April 28, 2013 07:00 AM by Ashley
I am curious if anyone has filed malpractice suit on this issue? I have had 3 Csections and terrible pain that is getting worse with time. During my last csection the obgyn confirmed tons of scar tissue,which she removed which caused me to loose a ton of blood and I had to have a blood transfusion. I had a Tubal with my csection and was told I would have abnormal painful periods up to 6 months. My son is now 9 months old and I am hurting worse than ever. The doctors in the ER were stumped and I went to my obgyn just to hear her tell me this is something I may have to live with for the rest of my life,it had nothing to do with a tubal,but definitely was from my csection.

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

April 30, 2013 07:00 AM by Henci Goer, BA
You may or may not be suffering from cesarean scar endometriosis. Chronic pain can also arise from adhesions (internal scar tissue). I doubt you would have any luck with suing your doctor. Both adhesions and cesarean-scar endometriosis are potential complications of cesarean surgery and are not due to your doctor doing anything wrong. Before you accept your doctor's "live with it" diagnosis, though, you may want to ask around and do some research to see whether there are, in fact, effective treatments for internal scarring.

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

April 7, 2014 07:00 AM by Ana G.
Hello, Iím so happy I found your blog because Iíve been searching for women with the same cesarean risk experience as mine! Iím trying to bring awareness to this cesarean preventable risk and connect with women to hear about their experiences. Soon I will have a website in place sharing my story and the endless research Iíve done that brought me to believe that this condition is overlooked and that there is not enough put in place to prevent it. Because many doctors are not aware of this condition, or simply think is rare which is not, they leave it misdiagnosed for years when the outcome is catastrophic for its victims. Abdominal wall endometriosis is a preventable risk of any uterine surgery such as a cesarean. Iím trying to bring awareness to this condition so I could make my bad outcome turn into something positive for other women! My Story My incision endometriosis symptoms started right after my cesarean. I was misdiagnosed for 33 months with over 30 doctor visits, by the time I had my surgery to remove the abdominal mass; it was to late not to have a major effect. I had no previous endometriosis and have no endometriosis anywhere else in body and no symptoms, the only endometrioma mass i had was in my abdominal rectus muscle above my cesarean incision site. MY OUTCOME - A RADICAL EXCISION OF: 8 cm - Left Rectus Muscle Anterior Rectus Sheath Inferior Epigastric Artery Vein Complex THE RADICATION EXCISION RESULTED IN: Rectus sheath was repaired with FlexHD Mesh 8 cm hollow space where my left abdominal rectus muscle one stood The only thing that is holding my intenstines and organs inside the abdomen cavity is a thin layer called transversalis fascia WHICH LEFT ME WITH: Permanent Cronic - Low back & Buttocks pain Permanent herniated stomach Canít carry another pregnnacy Incapacitated for anything that requires using your abdominal muscle I would love to hear from all of you! My email address is :info@iatrogenicendo.com . You can also join me on Twitter / Facebook @IatrogenicEndo I look forward to hearing from all of you! Thank you!

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

April 16, 2014 07:00 AM by Rose
I also had incisional endometriosis after C-section. My ob/gyn didn't want to believe that it was endometriosis, kept saying it was scar tissue. We went back & forth over this for several months because I'd done my own research and found a few cases that fit my criteria. Finally my pain was so intense that I almost couldn't stand up, and touching the inflamed area was intolerable. Agreed to have him take the "scar tissue" out. He came back after the surgery and said that I was an "unusual case" and that it HAD been incisional endo. The mass had been about the size of my thumb. He'd managed to clean out as much as possible, but now it's 10 years later and I'm beginning to feel it again.

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

July 6, 2014 07:00 AM by Kym J
Thank you all for sharing hour stories. I was diagnosed early 2014 with endo, but not specifically my scar. Diagnosis all on symptoms only. It doesn't run in the family nor does having c-sections either. Since @19yrs old I would have painful periods btw 1 to 3 times per year, the rest no pain regardless on birth control or not. Had an emergency c-section after failed forceps, with first in 1995, thank God my daughter who is now 18, had no affects. But she now has been diagnosed with poly cystic syndrome so perhaps hormonal imbalance does run in the family. Had my 2nd CS in 1998, D&C 2000; 3rd CS in 2001, and 4th CS in 2006. All the while painful periods 1-3 times/year. In 2009 started doing exercise and core strengthening exercise at a Gym for 6 months @3 times/week for 12 months. Noticed some core strengthening exercise could cause me to orgasm - yes, but of course I would stop because I couldn't be doing that where I was! But became quite strong and By this time I noticed I was getting painful periods more often about every 4th one. Continued with exercise but laid off core work a bit. Started again with. Personal trainer &2011 and noticed an increase in frequency of pain to every 2nd one. I stopped all frequent exercise after 6 months (costly). But soon after I was getting bad to severe pain 10 out of every 12 periods, since late 2012. I am lucky I don't have painful limps/bumps but every time it's all on my scar. I am bloated every month with a tender belly in the area of my scar. The pain is severe for one day only either on day 1 or 2 (of 6). Bad enough I take off work sometimes (never had to before). The medicine for pain relief either doesn't work or I'm left a zombie, which is not safe or feasible trying to be a Mum. hence so far the only thing that helps to take off the edge and I can still function ton an acceptable level for work and as a Mum (no need to drive where Iive), is 2 stiff whiskeys. more if I'm doubling over on my bad days. Not so good but the pill makes me feel sick all over, every day I take it. compared with the 1 day in pain every 35 days as opposed to feeling sickly everyday from the pill, I hope my relatively good vegetarian diet will counteract some of the alcohol I use as pain relief ( :-/ ). Right now I'm managing but always seeking a way to stop this, I don't want to have to wait until menopause or have an op. The previous information from you ladies has opened my eyes as to how lucky I am and what signs/symptoms to watch for. Fingers crossed there is a medical breakthrough for us. Btw acupuncture works good on the symptoms but I moved to another country and am yet to find a good one here.

Do Cesareans Cause Endometriosis? Why Case Studies and Case Series are Canaries in the Mine

July 8, 2014 07:00 AM by Michele
Hi, I am going through something similar and still waiting for a diagnosis. I have had dreadful cyclic pain since fourth c section in one side of the scar since I had the baby 7 months ago. I have begged no end for treatment and it is proving a long road for even a diagnosis. My bowel feels partially obstructed as well since the surgery and I am so bloated I look permanently pregnant.

Hi, i have four beautiful boys and its been 6yrs since i

February 11, 2015 07:00 AM by gaby
Hi, i have four beautiful boys and its been 6yrs since i had my 4th baby . He was to big to deliver him normal and had a C-section.. and after 3months i notice a little lumb or bump in the left side end of my cesarean soon after i went to get it checked and the doctor told me it was a cesarean scar that was normal to feel a little bump . For the past years it grown in sides and in pain i have gone to the emergency room twice BC of the major pain i feel during menstruation and they said the same thing scar tissue. . Now it feels bumpy hard like a bone increase in size and pain. I gone to a Family Doctor and he told me it might be endometriosis but he send me to a gynecologist to make sure what is it. I went but i was told it was cosmetic and that i had to go somewhere else.. i was so disappointed the gynecologist didnt seem to pay any concerns of it. She seem with no clue i couldn't believe it. Now where can i go?:-( . Now im so afraid it turns cancerous Bc it grown in sides and pain and my period is so heavy i have to wear double protection and Im always feeling fatigue. From what i heard in the web from others is that to remove it could be done by a dangerous surgery and it may regrow again and by having it , itll grow and attach to other organs Bc when menstruating your bleeding and the endometriosis is too but the blood it bleeds may some stay and attach to the endometriosis bump which will make it grow and attach to other organs. If thats true I would like someone a real experience Doctor of endometriosis to please let me know what can be done to live without this. This has taking over me im always scare of dying not being able to see my boys grow up. I dont want thi. To grow into cancer if it hasnt yet .

Hi, i have four beautiful boys and its be

February 11, 2015 07:00 AM by Sharon Muza, BS, LCCE, FACCE, CD(DONA), BDT(DONA), CLE
Hi, i have four beautiful boys and its been 6yrs since ie provider who will do a thorough job of determining what you are dealing with and that you feel satisfied with what you hear and learn. Best wishes.

Why case studies and case series are canaries in the mine

February 20, 2015 07:00 AM by Rinat Dray is Not Alone, Part 4 - Human Rights in Childbirth
Why case studies and case series are canaries in the mine. Sci. & Sensibility (May 11, 2009), http://www.scienceandsensibility.org/?p=147; Anne K. Daltveit et al., Cesarean delivery and subsequent pregnancies, 111 Obstetrics & [Ö]

Why case studies and case series are canaries in the mine

February 20, 2015 07:00 AM by Rinat Dray is Not Alone, Part 4 - Human Rights in Childbirth
Why case studies and case series are canaries in the mine. Sci. & Sensibility (May 11, 2009), http://www.scienceandsensibility.org/?p=147; Anne K. Daltveit et al., Cesarean delivery and subsequent pregnancies, 111 Obstetrics & [?]

i, i have four beautiful boys and its been 6yrs sin

March 15, 2015 07:00 AM by Rinat Dray is Not Alone, Part 4 | Human Rights in Childbirth
Hi, i have four beautiful boys and its been 6yrs since i. Sci. & Sensibility (May 11, 2009), http://www.scienceandsensibility.org/?p=147; Anne K. Daltveit et al., Cesarean delivery and subsequent pregnancies, 111 Obstetrics & [?]

endometriosis

December 3, 2016 01:41 AM by layla

I had endometriosis for 18 years and i never thought i would ever get a cure due to the terrible symptoms i had and this made it impossible for me to get pregnant even after 12 years of marriage and it was a serious issue. I got to know about Dr. Aleta who treated someone and the person shared a story of how she got a cure and let her contact details, i contacted Dr. Aleta and she actually confirmed it and i decided to give a try too and use her herbal medicine that was how my burden ended completely. My son will be 2 this december and i am grateful to God and thankful to her for medicine too. If you have (Endometriosis, PCOS, Fibroid, Ovarian cyst, Ectopic Pregnancy or any infertility issues) just reach her on (aletedwin @ gmail. com) she has professional advise and a cure too.

PCOS

January 3, 2017 11:47 PM by carla turley

This is an informative post. Below is my personal story on how i permanently got cured from PCOS. I was diagnosed of PCOS due to my irregular period at the age of 17 and my mom too had pcos when she was my age, i had annoying hair growth and when i got married at 23 even after 7 years of marriage this caused me inability to conceive and have a child. I have tried several treatments ranging from doctors to pills to lotions to drugs and therapies but none worked as the annoying symptoms still persisted. I got to know about Dr Aleta's PCOS treatment which is a natural herbal medicine treatment which was finally able to cure me in a space of 3 months. Today i have two kids and happiness have been restored back to my home. never give up because there is a cure you can reach her personally on [aletedwin @ gmail. com] for advise and information on how to get this medicine. Happy New year

GIRLS, I APPEAL TO ANYONE WHO WANTS TO GET PREGNANT!

January 24, 2017 10:57 AM by mrs Alice


My doctor had told me to forget about having a child at my age and that I should have considered adopting a baby. My husband and I read a lot of recommendations about an infertility healing medication, and when all hope is gone I decided to try and i contacted the herbal Doctor..After 3 years trying tо cоnceive I finally gоt pregnant in 5 weeks I have no words to express my gratitude,I recommend women sick of infertility, endometriosis, fibriod or blocked fallopian tube to contact Dr. Iyare through whatsapp his private phone number: +2348100562082 and Email: driyare@gmail.com. Dr. Iyare is the only specialise Doctor in infertility problems and He can help you.!

how i got a cure from pcos

May 31, 2017 06:49 AM by Priyanka Shruti

I first had symptoms when i was 17 and was told that i had PCOS (thin people type PCOS) and was officially diagnosed at 22 ans now i am 35. I have always had regular periods and unless on birth control pills were they irregular at times and I had a hard time getting pregnant because of the absent periods. I was always told by doctors that I would have a hard time conceiving so I would only go on the pill periodically which i did for more than 4 years, not for protection against getting pregnant, but just to get a period (since I was told it's not healthy to have less than 4 or so periods a year). Last time I went on a 3 month birth control pill and then stopped again because the medicine was not curing my pcos nor making me get pregnant. I went in search for a cure and ended up with so many drugs, medicine and even soaps that didn't work. I actually thought at a point that i was cursed that there is no cure for it, i was prepared to live like that till i read a testimony of a patient who suffered from pcos whose case was even worse than mine and how she was cured completely, I was amazed and at thesame time anxious and curious so i had to contact the doctor with the contact details that she left on the note. The doctor gave me so much hope and confidence with her kind words of encouragement to believe in myself and i was lifted because no one has ever given me hope like that before. I ordered the medicine, took it for 8 weeks and to my complete surprise, all the facial hairs, weight gain and all disappeared I ended up getting pregnant within a few weeks of completing the treatment! I was in shock. I think the main reasons it happened was that I never gave up and was ready to try alternative treatment so my body was back to normal. Before now i never enjoyed sex because it was very painful but now i do and my husband is the best thing that ever happened to me..
I hope this inspires some of you because I never in a million years would have thought that I would get pregnant and was getting frustrated and now our baby is due next month! You too can reach her on [aletedwin@gmail.com] for more information, advise and also how to place an order for yours.

How i got cured

June 4, 2017 04:30 AM by warner stephanie

In 2011 at age of 29 years, I was told I had fibroid. My doctor, who did surgery to remove the fibroids in 2014, said that I had a lump in my stomach which was very big. I had experienced no pain whatsoever with this condition only a slight discharge which caused me to go to see the doctor in the first place. He operated a couple of weeks later and found that I had bilateral cysts and removed my right ovary which was 8" in diameter and was fully cystic and also removed what he could of the cyst that was on my left ovary, leaving me with what he described as a "fraction" of my ovary. They were diagnosed as chocolate cysts and he said that if I didn't have children within five years, it was unlikely that I would have any. I married in 2015, came in contact with Dr. Leonard's herbal medicine early last year and now gave birth to my daughter. I never had any problems again in this regard and he said that the herbal medicine would also help prevent any further fibroids and cysts from forming which I now believe am free from these ailment. This may give some hope to people who find themselves in a similar situation. I often wonder how many children I would end up with if I had two full working ovaries. drleonard288@gmail.com

To leave a comment, click on the Comment icon on the left side of the screen.  You must login to submit a comment.  

Recent Stories
What's New in the Journal of Perinatal Education – September 2017

Research Review: Mind in Labor Childbirth Education – Does It Improve Birth Outcomes?

Come Meet Some of the 100 Most Influential People in Healthcare During the Lamaze Advocacy Summit 2017