I had an appt. to get established with a new GYN who is local. I was pretty nervous for this appt. And wasn't sure if they would be on board with my surgery not being local. The nurse was awesome and I felt relieved before even seeing the doctor. The doctor was disappointed that surgery was not with them, but then proceeded to offer birth control and ablation if endo was found and I went through them. Right then my decision to see a specialist was validated. He was a nice enough doctor, and will have to do for now. Because I did my research, I was not tempted by these offers for lesser care. He did do a pelvic exam (freaking ouch!!!!) and concluded that yes my pain location and feel of the uterus was consistent with Adenomyosis. He also warned me again that surgery may not cure my pain. I am aware of this possibility, but at the same time I don't have much to lose as my pain is crazy out of control. I am confident that the hysterectomy for the Adenomyosis is going to be life changing for me. Whether the causes for my other pain is found and addressed is not a concern. I am going to a specialist, so when I am in surgery he knows what he needs to be looking for and I am confident if he finds it he will fix it. If nothing is found and I still have pain after surgery then I look at other options, but for now things are looking good and I am confident in my decision.
I don't know how many times I have refused birth control, which I don't think would help even ease symptoms at this progressed point anyhow. Its in my records (that he read) from both my previous GYN and my general doctor that I refused birth control. Yet still felt the need to suggest them.
The word ablation also tells me that he needs to get the gold standards of care for adenomyosis and endometriosis figured out. There may be times when ablation could be helpful to certain situations but it certainly should not be the standard of care. This is what my specialist has to say about the care of endo.
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