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About Edward Joseph Ramirez, MD, FACOG
Expertise
I am a specialist in infertility and advanced gynecological care. I can answer questions about infertility, gynecology related ills, menopause...virtually anything that affects women's health. PLEASE tell me where you are writing from as I am always interested.
Experience
I have been practicing as an Ob/Gyn and Infertility Specialist for over 23 years. Gynecology, advanced laparoscopic surgery, basic infertility, IUI's, IVF, reproductive surgery, and ovulation induction are all areas of my expertise. I am Board Certified. I have been doing In Vitro Fertilization in my clinic for 15 years.
Organizations
American College of OB/GYN, American Board of Obstetrics and Gynecology, American Society of Reproductive Medicine, Society of Assisted Reproductive Technology, American Association of Gynecologic Laparoscopists, Fellow of The American College of Obstetricians & Gynecologists,Resolve-National Chapter, Open Path - Northern California, Board of Directors Monterey Medical Society
Publications
American Journal of Obstetrics and Gynecology
Education/Credentials
Medical Degree from Stanford University, Residency at Tripler Army Medical Center, Reproductive Training at Pacific Fertility Center, San Francisco
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You are here: Experts > Health/Fitness > Women's Health > Infertility/Fertility > Endometrial Cyst
Expert: Edward Joseph Ramirez, MD, FACOG - 10/25/2009
Question
Hi,
I am awaiting a laparoscopy to remove a 7cm cyst on my left ovary. My symptoms started about 3 years ago when I woke up in agonizing pain at about 5am. I had sickness and had just started menstruation. I fainted and then after about 2 hours the pain subsided and I was able to sleep. This then continued every month on the first day of menstruation. It does not seem to be so severe now although I do have pain killers to help. When I saw my gynecologist in august he said that it looked like a endometriotic cyst and my laparoscopy is due to take place on the 9th November 09. My question is, does this mean that I have endometriosis and is it likely to affect my fertility (I am 28 and me and my husband would like to start trying to conceive as soon as possible).
Thank you.
Answer
Hello Georgina from the U.K.,
Yes, an endometriotic cyst is a form of endometriosis. In fact, the finding of an endometriotic cyst (called an endometrioma), is usually classified as stage IV endometriosis (severe). It causes extensive scar tissue formation within the pelvis and around the ovaries and tubes. This form of endometriosis can definitely inhibit fertility, resulting in most patients having to do IVF.
You'll have to wait and see what your doctor finds on laparoscopy to know exactly how much the pelvis has been affected. Why did it take 3 years to schedule a laparoscopy?
Good Luck
Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program
www.montereybayivf.com
Monterey, California, U.S.A.
for additional information check out my blog at http://womenshealthandfertility.blogspot.com check me out on facebook and twitter with me at @montereybayivf
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