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Re: Missing Ovary?

From: Amy (anonymous@obgyn.net)
Sat Feb 21 08:47:28 2004


At Tue, 7 May 2002, anonymous@obgyn.net wrote: >
>Elise, I certainly hope this is getting worked out. Hardly the kind of
>stress you need post-surgery!
>
>See what your doctor says, but I'd really recommend seeing another
>doctor, preferably an RE who does a lot of these surgeries. The thing
>that worried me was that you said your doctor "drained" the endometrioma
>on the intact ovary. Maybe this is just a semantic confusion, but
>skilled surgeons will excise an endometrioma, while leaving the ovary
>intact. Draining it often does little good--it will grow back. The
>entire wall of the endometrioma needs to be removed (and this can
>require skill, since it is closely intertwined with the ovary--"like
>pitting a mango," my RE said--the endometrioma was inside the ovary) to
>be effective. You might want to ask your dr. or another one about the
>reasons for draining it rather than removing hte endometrioma, and be a
>bit skeptical if you hear that it just couldn't be removed without
>taking the whole ovary. That CAN be true, but experienced surgeons can
>often save much of the ovary.
>
>Good luck. I hope the confusion over your other ovary gets resolved.
>
>At Mon, 6 May 2002, Elise wrote:
>>
>>So if your ovaries were stuck to the pelvic wall, did they give you pain
>>from being stuck in that position? Mine are NOT missing on the
>>untrasound - just in real life. The doc could not "find" one of the
>>ovaries when he looked with the lap - but it DID show up on the sono
>>last week. What did they do when your ovaries were stuck to the
>>abdominal wall? How did you know? Could they tell by the sono or only
>>through surgery?
>>
>>In all fairness, this only happened on Friday and of course it took me a
>>while to wake up so I was not able to talk directly with the Dr. I have
>>asked his office to have him call me today, but he has not done so yet.
>>
>>I do like my Dr. and I am really glad he did not go ahead and remove
>>the really gross, endometriosis-covered left ovary anyway as we had
>>discussed. He chose to drain it and leave it and see what I wanted to
>>do. I think that was very respectful of him to do that - and I am not
>>sure all docs would have done the same.
>>
>>Since I have not been able to ask him directly, I am not sure why he did
>>not sono me there on the table. I think they can do that? Then maybe he
>>could have figured out where the missing ovary was - or wasn't.
>>
>>Thanks for any info about this unusual situation!!!
>>
>>At Mon, 6 May 2002, Mindy wrote:
>>>
>>>They may be attached to something in an inconspicuous place in the
>>>abdomen!!!! Mine were attached to the pelvic wall, but I don't recall
>>>either of them being missing on the ultrasound. I am sure you would
>>>know if you have one removed! I hope!
>>>
>>>Mindy
>>>
>>>At Mon, 6 May 2002, Elise wrote:
>>>>
>>>>You are right, it IS really bizarre!
>>>>My husband got transferred last year and I had to leave the doc who did
>>>>the c-section.
>>>>
>>>>But the sono was done just recently at the same doctor's office who also
>>>>did this lap. It was done by a tech rather than the doctor, but it was
>>>>at his office. I was looking at pictures of the sono 6 wks ago and 2
>>>>wks ago just prior to the surgery. I know he has many patients, so he
>>>>might not have remembered the sono results when he was doing to lap.
>>>>But surely something ought to be there??? It was on the sono!
>>>>
>>>>He did admit it might be there somewhere, but since I had not had a
>>>>bowel prep he did not want to do lots of exploration. The photo of the
>>>>area looks clean as a whistle! There is NOTHING in that space - not even
>>>>adhesions.
>>>>He said if he does any more he wants to "open me up" rather than use the
>>>>lap. Since I have so many adhesion problems already, I am not wanting
>>>>to do that. But if my ovary is "stuck" somewhere, and if getting it
>>>>free would relieve my pain, I guess I may have to do it - IF that is the
>>>>problem.
>>>>Elise
>>>>
>>>>At Mon, 6 May 2002, Natalie wrote:
>>>>>
>>>>>That is REALLY bizarre! I can't imagine how a doctor would be unable to see
>>>>>your ovary no matter where it was inside your body. Of course, I have no
>>>>>medical training. Do you think it is possible that either of your doctors
>>>>>(for the c-section or the lap) may have removed it without your knowledge?
>>>>>Scary thought.
>>>>>
>>>>>I guess you had two different docs doing the sono and the lap? Did you tell
>>>>>the doc doing the lap that it had appeared in the sono the previous week?
>>>>>
>>>>>Natalie
>>>>>
>>>>>> -----Original Message-----
>>>>>> From: endo@obgyn.net [mailto:endo@obgyn.net]On Behalf Of Elise
>>>>>> Sent: Monday, May 06, 2002 2:18 PM
>>>>>> To: Multiple recipients of list ENDO
>>>>>> Subject: Missing Ovary?
>>>>>>
>>>>>> I have tried searching to see if others have had a similar experience,
>>>>>> but I can't seem to find anything.
>>>>>>
>>>>>> I just had my second laparoscopy for endo last Friday. The prior one
>>>>>> was done over ten years ago and I have had two pregnancies in between
>>>>>> both via IVF with very good quality eggs being harvested from BOTH
>>>>>> ovaries
>>>>>>
>>>>>> We knew going in that I had a major endometrioma on my LEFT ovary and
>>>>>> that the same ovary has had a history of endometrioma as far
>>>>>> back as the
>>>>>> very first lap over ten years ago. My RIGHT ovary, according to the
>>>>>> sono had a fluid-filled cyst, but appeared OK otherwise.
>>>>>>
>>>>>> When the doctor did the lap, however, my RIGHT ovary was nowhere to be
>>>>>> found. It had shown up on sono just the previous week, but now it is
>>>>>> NOT THERE.
>>>>>> I want to know where my missing ovary could possibly be??? The doctor
>>>>>> wondered if I had it removed previously and just forgot. I
>>>>>> am certain I
>>>>>> have not had it removed.
>>>>>>
>>>>>> Also, I have been having a series of random, severe abdominal pain
>>>>>> attacks (similar to the pain of appendicitis) since 6 weeks
>>>>>> post partum
>>>>>> following my c-section 20 months ago. All 3 of my other children were
>>>>>> vaginal with no complications. These attacks have sent me to the ER
>>>>>> multiple times only to have all tests done and no diagnosis. I have
>>>>>> even seen a specialist who checked out my bowel and found no problems.
>>>>>> After 3-5 hours, the pain usually subsides and I am fine
>>>>>> until the next
>>>>>> attack.
>>>>>>
>>>>>> Question: Could my strange, undiagnosed intermittent pain attacks be
>>>>>> caused by my "missing" ovary being stuck with adhesions in
>>>>>> some unusual
>>>>>> place/position?
>>>>>>
>>>>>> Alternate question: Could me ovary be really be completely GONE? How
>>>>>> could this happen if it was never surgically removed?
>>>>>>
>>>>>> --
>>>>>> Elise in Texas
>>>>>>
>>>>--
>>>>Elise in Texas
>>>>
>>--
>>Elise in Texas
>>

Apparently I too have a missing ovary. It was there ten years ago and now cannot be found by Ultra Sound. But I do have a mass on the inside of my right ovary. I have been referred to a specialist but I was wondering about surgery. I was never able to conceive do to a history of endo, cyst, scaring ect. I am 38 years old and Have adopted three wonderful kids. I am thinking of asking them to just take it all, no laporscopic surgery. I don't want to have to do this again. Any opinions?




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