Re: chronic pelvic pain patient
From: Anna Meenan, MD (annam@uic.edu)
Fri Feb 20 16:37:57 2004
Our local pain clinic guys include one or two who do acupuncture, and I
have been told that they have had some success with pelvic pain. I
think I would exhaust ALL treatment options before taking out the one
remaining ovary of a 22-year-old. Yikes!
--
Anna Meenan, MD
At Fri, 20 Feb 2004, 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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