Which is the correct time to conceive after laparotomy?

Question

Hi doctor,

I recently had a laparotomy due to an endometrial cyst on each of my ovaries. On my right ovary, the cyst measured at 18 cm and on my left the cyst measured at 13 cm. The surgeon was able to save my ovaries with no problem. My ovaries just needed to be stitched up after having the cyst removed. My question is, when can I try to conceive? I am 20 years old and my doctor recommended I get on the pill due to the endometriosis, but I really do want to conceive really soon. None of my reproductive organs were bothered other than my ovaries being stitched. I am currently on Junel 1.5/30.

Answer 1

Hi,

Welcome to icliniq.com.

How are you doing?

Great to know that the surgeon could save your ovaries, though the cysts were really so large.

During surgery surgeon would have removed all the visible, I mean all macroscopic endometrial deposits. But there will be microscopic deposits, not visible to the eye and they will not allow proper fertility outcome. Immediately following surgery or any such physical stress, the egg or follicular response also will be less. So, rest for ovaries for a period of 3 months will do good.

During this period of waiting, the use of hormone pills or injections like Leuprolide will allow a better follicular response. So I would advise as your doctor did. You are so young and will surely have a good follicle reserve left to use.

Hope I have clarified your query, do write back if any more queries and for your feedback. All the best.