Re: abd pain and fainting

From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Fri Aug 12 18:39:31 2005


At Fri, 12 Aug 2005, D. Ashley Hill wrote: >

You could make her amenorrheic by DepoProvera or the continous pill and see how that went. Also, it might be worth prophylactic NSAIA drugs a few days before the expected menses if you don't render her amenorrheic.

Garry

>At Fri, 12 Aug 2005, Babycatchers@aol.com wrote:
>>
>>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. snip
>
>How about AIP (acute intermittend porphyria) exacerbated by menses? Some
>patients with AIP have worsening symptoms before or during menses, and,
>I believe, there are reports of using GnRH meds to treat this. It might
>be worth a workup. Good luck.
>
>Ashley
>
>--
>D. Ashley Hill, MD
>Associate Director
>Department of Obstetrics and Gynecology
>Florida Hospital Family Practice Residency
> and Loch Haven Ob/Gyn Group
>Orlando, Florida
>

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA




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