It’s quite easy to sell the patient on the idea of doing a laparoscopy. For one, it make logical sense. Isn’t it important that the doctor take a look inside the belly, so he can see exactly what’s going on ? Also, most doctor emphasise now easy laparoscopic surgery is today. It’s a simple procedure which does not leave a scar. It takes a few hours and the patient doesn't even need hospitalization because it’s” minimally invasive surgery “.
This is why a lot of patients with endometriosis end up doing surgery – and the surgery actually reduces their fertility ! This is partly because the endometriosis is minor – it’s a red herring which wasn't really affecting her fertility and could have been safely left alone. However, once the doctor is in the OR, he has to complete what he started. Along with removing the chocolate cyst, he also removes normal ovarian tissue , thus reducing the patient's ovarian reserve and causing her to become infertile !
This is the biggest tragedy of going to two ( or more) doctors of the same specialty for a second opinion. They share the same world view – and their advise is likely to be very similar. This is why you should actively seeks out a second opinion from a doctor with a different perspective ! You will get a much more balanced viewpoint, so that you can understand both the pros and cons of a given option. Thus, you should seek out an IVF specialist , who will try to convince you why you should not be doing a laparoscopy , and why you’d be better off doing IVF instead.
It’s true that different points of view may end up leaving you a little confused , because it's hard to sort out what's right. Still, it's better to be confused because you know a lot, rather than make the wrong decision because you don't know any better. This ignorance can come back to haunt you afterwards !
Also, if a doctor says I think you should do surgery , one of the first questions you should ask him is - Can you give me good reasons as to why I should not do the surgery ! A good doctor will understand your question , and will answer this appropriately . He will be able to explain the pros and cons ; share his biases ; and will be able to justify his advise. Unfortunately, there will be some doctors who will get affronted and upset about the fact that you are challenging their authority .
If your doctor gets angry because you ask questions, this just means that the doctors not very confident about his opinion - and you're actually be better off finding another doctor can give you a more thoughtful, rational , and well reasoned opinion , which you can be comfortable . If you find you are scared to ask your doctor questions , this means that something wrong with your relationship with him – and you need to fix this before matters gets worse. If the doctors makes you feel uncomfortable when you ask questions, this means the chemistry between you and the doctor is not right, and you’d be better off finding someone else . A good doctor values a patient’s questions , and will do his best to answer them respectfully !