Dr Abri de Bruin

Welcome! Please see this website as an educational reference for patients. My practice strives to offer comprehensive and individualized care in minimal access surgery, endometriosis and infertility.

Endometriosis

Instructional photos and videos

1. What do you mean with excision?

 

2. What if you have to resect a part of my vagina?

  • The diseased area of the vagina will be removed
  • Healthy borders will be sutured together to close the defect

What happens to my vagina after the surgery?

  • It will heal normally
  • You may not have penetration intercourse for 6 weeks following the surgery to give the vagina adequate time to heal
  • pain during intercourse should be better following the surgery as the diseased area is removed
  • this will have NO impact on your ability to have sex
  • this will have NO impact on your ability to deliver a baby

3. What options are there to manage endometriosis on my bowel?

  • shaving
  • shaving and suturing
  • local resection and suturing of the bowel
  • discoid resection
  • segmental bowel resection

Infertility

1. How do I take the Lucrin?

Depends on whether you are having the long or short protocol

  • Long protocol
    • You atart with the Lucrin on day 21 of your cycle
    • day 21 is the 21st day of your cycle after strting your period and having had a sonar during your period to make sure you do not have any cysts
    • you will start with 15 iu (international units)
      • this is 15 on the syringe 
      • you will take it daily at the same time (the times I give is a guideline so you can remember, bu tyou can adjust the time to suit your work and travels 
      • video on how to draw up the medication 
      • video on how to administer the Lucrin 
      • Will I have enough needles / syringes 
        • most probably, but if you run out, you can get insulin syringes at any pharmacy 
      • when you start your period, you will change the Lucrin to 10 iu (10 on the syringe) 
      • if you have not started your period after 10 days of taking 15 Lucrin, you need to see me!!

2. How do I take the injections to stimulate the ovaries to produce eggs?

Gonal F® 

  • There are 3 pens available
    • 900 iu, 450 iu and 300iu
  • There are individual ampules available of 75 iu
  • How to calibrate and use the pen - video
  • How to mix and administer the single ampules - video

Menopur® 

  • These powders need to be mixed with water ampules
  • the dose depends on various factors and you will receive instructions on how many powders to mix with how many waters
  • video on mixing of medication

Fostimon®

  • These powders need to be mixed with water ampules
  • the dose depends on various factors and you will receive instructions on how many powders to mix with how many waters
  • video on mixing of medication

3. How do I take the Cetrotide?   

  • video on how to mix and administer the Cetrotide
  • why do I take Cetrotide and not Lucrin?

4. How do I take the Ovitrelle® or Pregnyl® 

  • video on how to mix Ovitrelle and Pregnyl

PROPERTY OF DR ABRI DE BRUIN 2015