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Re: adenomyosis?

From: E. (anonymous@obgyn.net)
Tue Jun 23 10:41:17 2009


Sometimes endo goes on your uterosacral ligaments (or can obliterate your culdesac area) and this can then press on nerves and lead to sciatic pain. Endo in these places can lead to pain by your buttocks, down your leg. The only way to get rid of it is to have the endo excised. However, you might want to ask your doctor about muscle relaxants, sometimes these can help. Lupron is a really strong drug. It can have severe side effects, like hot flashes, loss of bone density, etc. It can also shrink your endo implants. So, if you have a lot of endo on your uterosacral ligaments and/or your cul de sac, the Lupron would shrink that and you would experience a relief of pain for however many months you were on the hormone. Once you are off the hormone, the pain would return. Has your neurologist said anything about taking Lyrica or Neurontin? Maybe these drugs would help.

At Mon, 22 Jun 2009, krayca wrote: >
>I have a 9 year history of what I was told is sciatic pain starting with
>my first pregnancy. Over the years I have seen a handful of
>chiropractors, 3 physical therapists, 2 series of epidural injections
>and now currently seeing a nueroligist who is a bit confused after
>passing a EMG normal. My MRI shows mild bulging disc at L4 and L5 but
>no nueral compression. I recently was diagnosed with endometriosi and
>adenomyosis and had a lap. Dr wants me to start Lupron for that.. Im
>thinking about it. The pain in low back a sciatic notch aches,
>burns,and or throbs into my leg. It is not giving up. The Nueroligist
>says I am a mystery patient.... I am now starting to read everything
>about endo, adeno and now the relation to sciatic. I have put in a call
>to Nuero doc about taking this info into consideration.. I am here
>because I am looking for someone who has some info similar to endo or
>adeno causing such pain in back , buttocks and legs. I really dont want
>to start Lupron without knowing this is the problem
>
>At Fri, 21 Nov 2008, Nevi wrote:
>>
>>Hi Brandy,
>>
>>After years of being told there was nothing wrong, I too was told I have
>>Adenomyosis. I am so happy knowing it is something I can change. What
>>happened with you and Kaiser? I am facing the same questions. I want
>>the surgery but am not sure how Kaiser will handle it.
>>
>>I appreciate the feed back as well,
>>
>>At Sun, 26 Oct 2008, bren wrote:
>>>
>>>Hi Brandy,
>>>I'll make this short since I emailed you about this and your thoughts of
>>>having a hysterectomy. First, you should see an endometriosis
>>>specialist (I don't know how accessible one is for you, but as you know,
>>>I have Kaiser and only Kaiser accepts Kaiser insurance and I don't know
>>>of an endo specialist in Kaiser, so anyone I see outside of Kaiser, I
>>>would have to pay out of my own pocket-so not easy for me). After your
>>>post-op and finding out what was exactly done during your lap surgery
>>>and asking as many questions as you can and hearing out other treatment
>>>options, then I would make a record of all this and if possible, take it
>>>to an endo specialist for review. I know that if one has had all
>>>possible treatments for endo and even had this "cut/excised" out rather
>>>than lasered out and one is still sufferring symptoms and pain, then it
>>>is quite possible that adenomyosis is the culprit...However, if before
>>>deciding to have a hysterectomy, I would work w/ an endo specialist who
>>>can offer proper advice and treatments beforehand. If my symptoms don't
>>>improve or continue to worsen, then I would have another lap w/ the Endo
>>>Specialist rather than my original obgyn specialist who doesn't know
>>>everything about endo and adeno. After thoroughly discussing everything
>>>w/ the endo specialist, I would then give permission for him to remove
>>>my uterus (hysterectomy through laparoscopy) during the lap if he finds
>>>that your uterus is very distorted and adenomyosis is highly suspected
>>>as the cause of your sciatic pain. Since the article I emailed you that
>>>adeno can cause sciatic pain & even the retroverted uterus can cause
>>>back pain....Just remember to weigh out all the pros and cons of a
>>>hysterectomy before deciding to have one. I would actually probably
>>>have a lap again w/ an endo specialist and before deciding to have a
>>>hysterectomy (big decision) and I know the recovery for lap is a lot
>>>shorter and easier than the recovery for a hysterectomy during a lap.
>>>I'd basically would just want to try all types of treatments (besides
>>>Lupron), I'm talking more about exision surgery w/ an endo specialist
>>>and if symptoms are not better, then I would have a hysterectomy as
>>>research does say that if women continue to suffer endo symptoms after
>>>exision surgery and hormonal treatments, etc, then it is highly possible
>>>that you have adenomyosis. The good thing is that you already have one
>>>child, so the decision might be easier. Just make sure to weigh out the
>>>pros and cons and get more than one opinion especially by an endo
>>>specialist. I'm hoping that your recovery is getting better. Let me
>>>know, cuz I've been worried! Read your email. =) ***Hugs*****
>>>
>>>*Bren*
>>>
>>>At Sat, 25 Oct 2008, Brandy wrote:
>>>>
>>>>Hi ladies,
>>>>
>>>>I'm wondering if any of you have been diagnosed with or are suspected of
>>>>having ademomyosis? And, if so, what types of symptoms are you having?
>>>>
>>>>I know the the only "cure" for this is hysterectomy, but have you been
>>>>able to find relief using any medications, like Lupron?
>>>>
>>>>I am meeting with my GYN on monday for post-lap follow up, and I'm
>>>>afraid that the lap didn't get the job done. I'm almost wishing I had
>>>>requested a hysterectomy while he was already in there, as I don't
>>>>really want to go through this tough recovery again.
>>>>
>>>>My symptoms are heavy periods, usually 2 periods a month, heavy
>>>>clotting, dark blood, and severe and crippling sciatic-type back pain.
>>>>
>>>>thanks for any input.
>>>>
>>>>--
>>>>Brandy
>>>>
>>--
>>*Nevi*
>>




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