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Re: abd pain and faintingFrom: Gerald P. Rodríguez (geraldpr@cybermesa.com)Fri Aug 12 18:17:29 2005
Diagnostic laparoscopy. She may have endometriosis or retrograde filling of the proximal stumps of her tubes. Gerald P. Rodríguez, M.D., FACOG Santa Fe
> ----- Original Message ----- Has anyone else faced this problem? I had a 30-ish woman present for her annual exam. G3 P3 with a BTL several years ago. She complains of severe abdominal cramping/lightheadedness/headache/ fainting for the first 3-5 hours of her period. Then she is fine after that. Some cramping for the rest of the first day, but Motrin is enough for pain control after the onset pain. Menses regular 21-28 days lasting 3-5 days. No heavy bleeding, no clots, no other pain. I have done a pelvic ultrasound-showed nothing unusual. No cysts, etc. Cultures are negative. No pain to abd on bimanual exam. Paps are normal. No history of dysplasia. Monogamous and no vaginal discharge. Wet prep was negative. We have tried her on OC and that helped to decrease the severity of the symptoms, but they were still present and debilitating for those few hours. She stopped taking the OC because it was not making much difference. My back-up doc is not really concerned, but she was in tears today because she thought we did not believe her. I believe her, I just don't know what to suggest. She takes 1 Vicoden when the pain starts and then none until the next month. Last Rx was filled almost a year ago for 10 pills. So she is not drug seeking- I don't think. Any suggestions? Thanks for your help. Vicki Smith, CNM Vicki Smith, CNM Midwives-changing the world one baby at a time.
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