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Re: Post tubal ligation syndrome. From: art fougner, md (evsono@pipeline.com) Tue Oct 23 10:38:56 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Richard Chudacoff: "Re: Spam warning for Namibian Obstetricians" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Post tubal ligation syndrome." In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Post tubal ligation syndrome." Next in thread: AllanHo@aol.com: "Re: Post tubal ligation syndrome." And would Mirena be a possible treatment option? Art At Tue, 23 Oct 2007, Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. wrote: > >At Tue, 23 Oct 2007, rmodugno@aol.com wrote: >> >>Though thought not to exist, have seen many women who have had a t/l present with menometrragia, pelvic pain and dysmenorrhea. Physical and ultrasound findings pretty much normal. Do they all have adenomyosis? >> >>Treatment? >> >>Thoughts? >> >>Robert Modugno MD MBA FACOG >>Sylva, NC > >Like all syndromes make your criteria wide enough and your incidence >will increase; irritable bowel syndrome, fibromylagia and unfortunetaly >now even autism fit into that pattern. > >I think there are two things at work, one many women where on oral >contraception prior to the tuabl and revert back to the terrible periods >they should be having; two any surgery near the ovaries/tubes will >desrupt blood flow and antomy such as to make anovualtion and associated >menorraghia-dysmenorrhea more likely. > >I always bring up the mirena option in women with prior history of >dysmenorrhea who come in asking for tubal. > >-- > Take care, John > -- art fougner, md "May The Wings of Liberty Never Lose a Feather." - Jack Burton Next message: Richard Chudacoff: "Re: Spam warning for Namibian Obstetricians" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Post tubal ligation syndrome." In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Post tubal ligation syndrome." Next in thread: AllanHo@aol.com: "Re: Post tubal ligation syndrome."

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