Re: chronic pelvic pain patient
From: Gail Waldby (gwaldby@willinet.net)
Fri Feb 20 11:53:40 2004
Richard, has she tried gabapentin (Neurontin), Elavil and TENS?
Gail Waldby, MD
Huron SD
Richard Chudacoff, MD wrote:
> I have a 22 year old, gravida zero, chronic pelvic pain patient who
> has had a left salpingoophorectomy for a dermoid cyst at the age of
> 14. Subsequently she has persistent pain which has required three
> laparoscopies for lysis of adhesions. Her right ovary on laparoscopy
> appears to be normal, as is her right fallopian tube. She has also
> undergone a laparoscopic presacral neurectomy. Currently she is on
> Depo-Provera and Nuvaring continuously which has decreased
> dysmenorrhea, but has not removed for chronic pelvic pain. She is
> amenorrheic. She would like her right ovary removed, because her pain
> is constantly right lower quadrant/pelvic in nature. For workup has
> included evaluation by psychiatry, neurology, pain medicine and
> gastroenterology.
>
> The only thing that I could think of would be to super ovulate her,
> capture her ova, and then performed a right salpingo oophorectomy,
> with the understanding that she could use her captured ova for future
> fertility.
>
> I would be eager for a discussion regarding this type of patient and
> options of therapy.
>
> Richard Chudacoff, MD, FACOG
>
> Chudacoff Obstetrics & Gynecology, PA
>
> 15200 Southwest Freeway, #270
>
> Sugar Land, TX 77478
>
> Tel: 281-277-3900
>
> Fax: 281-277-3901
>
> rchudacoff@mylinuxisp.com
>
> Richard.Chudacoff@obgyn.net
>
> http://www.mdhub.com/281-277-3900
>
> http://www.chudacoffobgyn.yourmd.com
>
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