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Re: lower back and abdominal painFrom: AGS (anonymous@obgyn.net)Fri Apr 11 13:36:20 2003
A "thickened uterus" can be a sign of adenomyosis, where the aberrant endometrial tissue has grown into the muscular wall of the uterus. It's very hard to diagnose, unfortunately, but seems to be much more common in those of us who had tubal ligations. It could be at least part of the cause of your pain and heavy periods, especially if you find yourself passing clots. BCPs will NOT control this, nor does an ablation work, or Lupron. Interstitial cystitis is where the endo grows into the bladder wall, and could give you the sort of pain you describe. That's also pretty difficult to get to the bottom of and diagnose, and you'd need a GYN-urologist to deal with that. The pain in the shoulder is due to something pressing on the "phrenic" nerve, which runs near the tubes, and is a sign that something is going on in those areas. Perhaps one of the cysts is pressing on the nerve. In five months, particularly with the tubal ligation, a lot can change. Your hormone therapy may help a bit, but as a guess, you need to look into other diagnostic testing, like CT (to make sure that the cysts aren't pressing against the bladder and to also try to define the "thickened uterus". If it IS adeno, there's not much to be done to "cure" it...and diagnosis isn't 100% by any means until a hysterectomy and pathology. Good luck to you...how did that doctor's visit on the eighth turn out? Audrey
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