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Re: abd pain and fainting From: Efrain Ramirez (eramirezt@coqui.net) Fri Aug 12 19:14:27 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "GEN: Too much blood in the office today (long)" Previous message: Efrain Ramirez: "Re: Failed attempt at tubal" In reply to: Babycatchers@aol.com: "abd pain and fainting" Lupron versus laparoscopy.. Ef. >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. 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. -- "Character may be manifested in the great moments, but it is made in the small ones." - Phillip Brooks ~walt whitman~ Next message: Garry E. Siegel, M.D.: "GEN: Too much blood in the office today (long)" Previous message: Efrain Ramirez: "Re: Failed attempt at tubal" In reply to: Babycatchers@aol.com: "abd pain and fainting"

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