Re: Dr Daiter - Ovarian Cysts
From: Eric Daiter, MD (anonymous@obgyn.net)
Wed May 30 09:02:27 2007
I did not hear about a NEGATIVE PREGNANCY TEST, since an ectopic
pregnancy must be ruled out (even if you have been taking pills, if you
miss days and ovulate a pregnancy may occur). Fertility doctors think
everyone is pregnant until proven otherwise.
If you are not pregnant, then it is possible for a ruptured and bleeding
ovarian cyst to cause this type of pain, though this should have been
seen on the radiologic tests. If you "ripped" or tore an adhesion (scar
tissue) by making an ovarian cyst in a certain location on the ovary
that pulled the scar tissue in a different direction, then it may have
torn. If the pain persists or increases you might need to consider a
laparoscopy to examine the tissues for the cause. If you have a fever,
then it could be infectious and may be able to be treated with
antibiotics. Often, the "mystery pain" goes away spontaneously... but
10 days is a long time to be in pain.
Good luck
http://www.drericdaitermd.com
At Fri, 25 May 2007, Sabrina wrote:
>
>Hi,
>
>I have been getting about the same opinion on pain that started 10 days
>ago.
>I had severe onset of pain beginning May 16th that night. All of a
>sudden pain that doubled me over and felt sick and started sweating and
>was nauseaus. I took Lortab. An hour after that pain started, I had a
>gush of blood. Pain was much better on Thursday and Friday. Friday
>night it came back and walloped me. It was severe through out the
>entire weekend. I had light bleeding to spotting to none and back to
>light again. It went from bright red to brown to none and then back
>again. The bleeding stopped Monday night. Monday I called my obgyn's
>office. The nurse told me to keep an eye on it and call in a month.
>Later that day it was getting worse. So I called my pcp's office. She
>saw me right away and said it was a) appendicitis b) ruptured cyst c)
>adhesions. She sent me to the ER for eval of appendicitis. They did
>bloodwork, urine, cat scan. All came back normal. Abdominal exam
>showed pain on the lower right quandrant. Pelvic exam had pain on the
>right ovary and tube.
>
>The ER drs and my pcp think it may be a ruptured cyst or an adhesion. My
>ob said he really didn't think it was an adhesion as that builds month
>after month and comes on gradually. I did have adhesions of the left
>tube/ovary/bowel and peritineum wall. He said that he wasn't sure if it
>was a cyst either. He said there was no free fluid in the pelvis. But
>he also said cat scans were not 100% accurate either. He agreed with
>doing an US (scheduled for a transvaginal and an abdominal pelvic one
>next week). But he doesn't think it will show anything. I still have
>really bad pain. He said to keep taking lortab and motrin.
>
>So do you think it was a burst cyst? If not do you have any idea what it
>may be? My endo/adhesion pain never lasted this long before for a time
>period. I am on Loestrin continuously and prometrium days 12-21 of the
>pill pack. I still ovulate on the pill. It was confirmed by US in Jan
>06. I am 33. Thanks for any help or insight you can provide.
--
http://www.infertilitytutorials.com
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