WOMENS-HEALTH Messages for February, 2001: Re: ? For the Drs.

Re: ? For the Drs.

From: M. Kelly Shanahan, MD (anonymous@obgyn.net)
Fri, 9 Feb 2001 18:34:04 -0600 (CST)

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At Fri, 9 Feb 2001, Peggy wrote: >
>Hello I hope everyone is doing o:k this evening.I have a very
>complicated history and will try to make it as brief as possible.I
>started having pain in the LLQ around the area of the ovary about 5-6
>years ago , mainly around ovulation. , It became so bad that I could
>barely walk. I also had heavy bleeding with my periods and expelled
>very large clots some I would say were bigger than golf balls. I had a
>D&C 2/98 but this failed to resolve either of the problems so I had a
>hysterectomy and LSO 4/98 . The left ovary was adhered to the bowel and
>abdominal wall and that was thought to be the cause of all the pain.
>Unfortunatly I developed a hematoma that had to be surgically drained 10
>days later. THe pain returned about 6-8 weeks after having the surgery
>.I had another laporoscopy 4/98 and it was found that I had severe
>adhesions throughout the pelvic and abdominal area, all the adhesions
>were lysed and again I was feeling pretty good for abou 6 weeks and the
>same old pain returned I had another Laporoscopy 11/99, This time my Dr.
>was going to do a RSO and look for endo, He did find endo on the lower
>bowel and on the cul de sac but did not remove it. He ws going to
>withhold HRT for 3 months to allow the endo to die off.Well I have tried
>continuos BC, Lupron And am now on an Aromatase Inhibitor Treatment.When
>my hormone levels were checked a couple weeks ago they were FSH-8.5
>Estradiol-140.
>I have so much pain both on the left and right side where the ovaries
>were and down into the vagina.When I first started this treatment and
>the levels started going down I saw a decrease in the pain, But with the
>levels going up my pain has increased quite a bit.My Dr. has doubled my
>dosage of the Arimidex(aromatase inhibitor) and he said if this doesn't
>help he doesn't know what else to do for me. I asked him if it would be
>senseless to do a CT Scan or Ultrsound and he said no. I have a CT Scan
>scheduled for Thursday. My question is, If I have an ovarian remnant
>would it possibly show up on the CT Scan?

maybe

He is also having them look at >lymphnodes, What would this be for? I am totally frustrated and
>discouraged .I also have a slight rectocele that at first my Dr. said
>was caused by not enough estrogen and when that is resolved the
>rectocele should get better. I have enough Estrogen and I have for a
>while so what do I do about that?

depends on if you are haivng symptoms or not -- if no symptoms, you don't need to do anything

I am taking 2,7.5/500 lortab 3-4 times >a day for the pain which doesn't help with the bowel movements. My Dr.
>Mentioned sending me to either the Mayo Clinic Or a Clinic in Mass. for
>possible research??? Any Suggestions from the Drs. on here would be
>appreciated. Thank you,Sorry this was so long :0)
>Peggy

have non-gyn possibilites for your pain been explored? especially intestinal causes? have you had a colonoscopy?

-- M. Kelly Shanahan, MD, FACOG S. Lake Tahoe, CA

**this is for educational purposes only and does not supplant the need for you to consult your personal physician. *** Private e-mails WILL NOT be answered!!!!

Next message: M. Kelly Shanahan, MD: "Re: Dr. is now doing a laparoscopy in addition to vaginal vault suspension!"
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