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Re: I am not sure..more info

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Thu, 30 Nov 2000 21:16:58 -0600 (CST)


The uterus doesn't appear to be big enough to be causing a problem. The MRI is good for ortho but not the best for gyn.

If this stays confusing, a laparoscpy may need to be done.

Hope this helps and write back anytime for more information.

HSM

At Thu, 30 Nov 2000, Tina wrote: >
>At Thu, 30 Nov 2000, Tina wrote:
>>>>At Wed, 29 Nov 2000, Lynn D. Montgomery, MD wrote:
>
>>>>>At Wed, 29 Nov 2000, Tina wrote:
>Well, the period showed up today, exactly 30 days since the beginning of
>the last one. I was hoping it would help ease the pain in my pelvis,but
>NOT! The pains aren't shooting down my right leg though so that is a
>plus. Over the last couple of years my periods were running every 21-23
>days now
>this one came at 30 days, does this mean that they are starting to
>straighten out on their own? Or is this just the beginning? The periods
>have been like this since my son was born 6 years ago. A couple of
>months I bled all month long. Luckily there were regular periods in
>between those. Severe cramps, heavy bleeds, once very regular periods
>now irregular. Pelvic/hip pain, and ultrasound showed enlarged uterus
>with fibroids, measuring 10.6 x 4.9 x 5.9 cm in ultrasound taken a month
>ago.
>
>My question is this, my doctor sent me to an orthopedic surgeon because
>of the pelvic/hip pain. Orthopedic said it is not a bone problem. More
>likely a uterus problem. OB/gyn said it was a bone problem, not a
>uterine problem.
>
>Orthopedic sent request to my regular doc to order an MRI of my pelvis
>and lower back and uterine area. Will this MRI show if my uterus has
>grown larger? Will it give a better detail of how many fibroids there
>are? Will it show
>anything else? I am not pregnant, have had 3 kids, 1 vaginally and 2 by
>c-section, with severe adhesion after last pregnancy. Fallopian tubes
>adhered on both sides had to be surgically released..
>
>Please advise.
>
>thanks
>
>--
>Tina
>
>Tina,
>The MRI will show the uterus and pelvic structures, but is not the
>imaging modality of choice to assess those structures. It will give an
>excellent look at the hips. The pelvic structures on MRI do no reliably
>visualize because of the distortion caused by the bones surrounding the
>pelvis... Lynn
>
>>> But will it show if my uterus has grown any larger? Will it show if there is a possibility of adenomyosis? Will show any other possible abnormalities?
>
>Also, the bleeding has let up a little, but yesterday (day 2) I was
>passing clots the size of between a dime and penny. And today so far
>the cramps are horrible. Have to sit on a heat pad and have one on my
>belly as well. I have been dealing with this off and on for over 6
>years and am tired of it. I just want it to stop. It is interferring
>with my day-to-day life, not to mention my sex life with my husband.
>>>>Tina
>
>--
>Tina
>

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

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