She Was Told to Do IVF With a CA125 of 400! What Went Wrong? | Dr Jay Mehta, Mumbai

Описание: Presenting the MRI findings of a young woman with a history of prior surgery and a CA 125 level of 400. Unfortunately, the MRI was performed without gel contrast in the vagina or rectum, which significantly limits the diagnostic value when evaluating deep infiltrating endometriosis.

The uterus is adenomyotic, predominantly posteriorly, and there is visible puckering of the rectum at the pouch of Douglas, strong indicators of severe endometriosis with probable bowel involvement.

Despite this, she has been advised to undergo IVF prematurely without addressing the underlying disease.

This is a harsh reality in India where young women are often pressured by family and societal expectations to make hasty decisions about their reproductive health.

Many of them are pushed into IVF treatments without proper staging of endometriosis or adequate surgical management. Unfortunately, when IVF fails and financial resources are depleted, they seek help at specialized centers, often when the disease has already progressed significantly.

Endometriosis is not just a fertility issue. It is a chronic painful condition that requires timely diagnosis, expert evaluation, and a comprehensive treatment plan. It is time we prioritize women’s health with sensitivity, science, and long term vision.

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