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Re: -ovarian remnant syndrome & endo

From: D.N. (anonymous@obgyn.net)
Tue Jan 30 07:19:15 2001


Hi Cathy,

I am sorry to hear that you are having such problems. I don't know if you know or not but having a CA-125 to check for ovarian cancer will be difficult since you have endo, the endo will usually result in a positive test. So it doesn't help much with the cancer thing. Have you had a transvaginal ultrasound? This sometimes will show if you have cysts forming. Also, if you think you are cycling/ovulating try taking your basal body temp everyday and chart it. You might be able to try continuous BCPs or Prometrium to help if you do have a remnant left. They worked for a while for me, but I had to stop because of migraines and depression. Now I am on nothing and my cycles are getting more painful. I am not sure if I am going to try Syneral or not at the point. As far as fibromyalgia (sp?), I don't know. I know if you are not getting adequate sleep (from my experience) you probably will feel more pain.

With IBS, I was misdiagnosed with that before my hyst. I didn't really have that it was the endo.

Please write again if you have more questions. I wish you the best.

--
D.N.
At Mon, 29 Jan 2001, Cathy wrote:
>
>At Wed, 10 Mar 1999, yenta wrote:
>>
>>Hi You Two LOL:)
>>I found your posts to be of great interest -- and thank you for
>>admitting to your anger and frustration re physicians who go on their
>>own preconceived notions as opposed to LISTENING TO US!!!! I know WE ARE
>>ALL FRUSTRATED to have to suffer through "misdiagnoses" only to find
>>that when we at last acquire a "specialist", the endo still wins out in
>>the end:(
>>Michele ?J., would you please email me as to who your "endo King" is --
>>and was it successful or are you still suffering -- (sorry, I haven't
>>read all of the posts yet).
>>Thanks,
>>Yenta
>>TX
>>
>>At Wed, 10 Mar 1999, D.N. wrote:
>>>
>>>Hi Michele,
>>>
>>>Thanks for responding.  You had your remnant removed? How long ago? How
>>>many surgeries have you had? Did you go through surgerical menopause
>>>before the remnant was removed?
>>>
>>>I had a hysterectomy and my left ovary removed in 1995.  The reason was
>>>due to fibroids.  I had extremely heavy periods.  I suspected I had endo
>>>for quite a while, especially since my sister had it too.  But the
>>>doctors I had at the time dismissed me and also misdiagnosed me with IBS
>>>and they said my periods had become heavier because I was not ovulating.
>>>I knew I was ovulating because I had mittleschmirtz since day one of my
>>>periods.  My doctor decided this based on the fact I was 36 at the time
>>>and she ASSUMED that is why they were changing.  It was not based on any
>>>laboratory tests.  This is kind of funny now, but it wasn't then, that
>>>the doctor that misdiagnosed me did a pelvic exam and did not find
>>>anything unusual.  When my uterus was removed, it was the size of a 2
>>>1/2 month pregnancy.  Yes, I have anger at doctors.
>>>
>>>Anyway, at the time of my hysterectomy, I ended up having a major
>>>hemmorhage and was transfused with 7 units of blood.  This might have
>>>been avoided had I been diagnosed properly earlier.  I was extremely
>>>anemic going into surgery which apparently raises your chances of
>>>bleeding during surgery.
>>>
>>>Endo was found during the surgery.  My left ovary and uterus had adhered
>>>to my sigmoid colon.  (No wonder my bowel was irritable)
>>>
>>>In late 1996, I found that I was having pain in my right ovary.  My
>>>doctor, not the one who misdiagnosed me, did an ultrasound and found an
>>>endometrioma.  So I had the remaining ovary removed in Feb 97.
>>>
>>>I went through surgerical menopause.  The whole nine yards of it.  Went
>>>on Premarin.  Then about 5 months later started having symptoms similar
>>>to mittleschmirtz and cyclical pain in the left side where the endo was
>>>found.  My doctor at first thought it was a periotineal cyst.  I kept a
>>>chart of symptoms and took my basal temp every A.M.  It showed indeed it
>>>was an ovarian remnant.  Transvaginal ultrasound also showed that I had
>>>ovarian cysts.
>>>
>>>Since Jan.  1998, I have been on various BCP's to control the cysts.  The
>>>low estrogen BCPs did not work.  So now I am on Ortho-novum 1/50 (also
>>>tried Ovcon 35 and it works similarly).  The weird thing is that no one
>>>can explain is why these pills suppress my estrogen level to
>>>post-menopausal levels.  So I end up with hot flashes, (not as bad as
>>>surgical menopause) irritability and some depression.  If the pills did
>>>that to all women, then why do they prescribe BCPs for perimenopausal
>>>women to regulate their hormones.  My doctor and the Ortho Corp.  don't
>>>have any answers.  My doctor, the one who did both surgeries is
>>>wonderful.  She listens to me and takes me seriously.  We have a good
>>>working relationship.  But it is still hard dealing with this endo and
>>>remnant day after day.
>>>Surgery is not really an option for me, because I am full of adhesions.
>>>I wonder if ovarian remnant syndrome happens more often that is
>>>recognized or admitted by M.D.s because in someways they have to admit
>>>they made a mistake? I wish that more doctors would actually listen to
>>>their patients, and not go on preconceived notions.  I think that
>>>managed care also plays a part in misdiagnosing problems.  If the doctor
>>>is rushed, he/she will probably go on preconceived
>>>notions due to lack of time and money.  More testing needs to be done.
>>>I hope that by sharing my experiences it might help someone else avoid
>>>having to go through what I have gone through.
>>>
>>>Please excuse my anger and sarcasim.
>
>Hi! My name is Cathy and the above messages sure sound like the hell I'm
>going through.  I had a hysterectomy Sept.  27th and the pain from the
>surgery was less than what I am going through since then with bowel and
>intestinal problems.  I was told I probably had IBS and the pain I am
>going through with my joints and shortness of breath etc.  sounds alot
>like Fibromyalgia.  I have a Doctor's appointment to check out the
>possibly of Fibromyalgia but wonder if I may also have a remnant or scar
>tissue.  I am going to ask for a blood test to check for cancer and get
>a base level because the foot and ankle pain I'm having can sometimes be
>an indicator of ovarian cancer I've recently heard in the news.  After
>what my girlfriend went through with Chemotherapy last year I do not
>want to have to take that route either.  Its really scary when so many
>of your friends have died with cancer and your not sure what your body
>is doing.  I only know my life is becoming hell.  I go to work and come
>home for a nap.  If I have the energy after the nap I make supper and
>lunch for the next day but I don't have the energy to clean up the
>dishes.  If I'm lucky I get my clothes ready for the next day.  Sometimes
>I can go dancing but I still get pain from that.  I tried exercising in
>the water and had pain from that and couldn't even last an hour with
>part of that time in the hot tub and the sauna.  I used to be able to do
>1 1/2 hours.  I tried walking up the stairs on Saturday to check out an
>fitness gym and almost passed out on the stairs and was sick for the
>rest of the day.
>
>Please if you can help I sure need it now!!!!!!!!!!!



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