Re: chronic pelvic pain patient
From: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com)
Mon Feb 23 08:43:39 2004
Did that
--
Richard Chudacoff, MD
A government that robs Peter to pay Paul can always depend on
the support of Paul.
George Bernard Shaw
Democracy is a device that insures we shall be governed no
better than we deserve.
George Bernard Shaw
-----Original Message-----
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Garry E.
Siegel, M.D.
Sent: Friday, February 20, 2004 10:59 PM
To: Multiple recipients of list OB-GYN-L
Subject: Re: chronic pelvic pain patient
>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
>>
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>--
>"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
