Re: chronic pelvic pain patient
From: Efrain Ramirez (eramirezt@coqui.net)
Wed Feb 25 20:27:03 2004
Or one of the new ones --i.e. Lexapro... I believe she will still have
pain even after RSO....
>At Mon, 23 Feb 2004, Richard Chudacoff, MD wrote:
>
>She's already been on SSRIs, Wellbutrin, Elavil,
>
>--
>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 Efrain
>Ramirez
>Sent: Friday, February 20, 2004 8:11 PM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: chronic pelvic pain patient
>
>Try <a href="http://go-advertising.com?go=prozac" onmouseover="window.status = 'goto: prozac';return 1" onmouseout="window.status=''">Prozac</a> 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)
>
--
"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)
