Re: chronic pelvic pain patient
From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Fri Feb 20 21:57:23 2004
>From left field: has she had a psychological evaluation, or been
directly asked about any type of abuse/date rape, etc.
Garry
At Fri, 20 Feb 2004, Efrain Ramirez wrote:
>
>Try Prozac 20 mgs daily..
>
>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
>>
>>*****HIPAA Confidentiality Notice*****
>>
>>The documents inside this electronic transmission contain confidential
>>information belonging to the sender that is legally privileged. This
>>information is intended only for the use of the individual or entity named
>>above. The authorized recipient of this information is prohibited from
>>disclosing this information to any other party and is required to destroy
>>the information after its stated need has been fulfilled, unless otherwise
>>required by law.
>>
>>If you are not the intended recipient, you are hereby notified that any
>>disclosure, copying, distribution, or action taken in reliance on the
>>contents of these documents is strictly prohibited. If you received this
>>electronic transmission in error, please notify the sender immediately to
>>arrange for return.
>>
>--
>"The opposite of a correct statement is a false statement.
>But the opposite of a profound truth may well be another profound truth."
>
>Niels Bohr (1885 - 1962)
>
--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA
|
|
