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Re: Question about Perganol (Drs. Please)Dr. ShanahanFrom: Peggy (anonymous@obgyn.net)Sat, 31 Mar 2001 09:18:09 -0600 (CST)
At Sat, 31 Mar 2001, M. Kelly Shanahan, MD, wrote: > >At Fri, 30 Mar 2001, Peggy wrote: >> >>Good afternoon Drs., >>I have a very complicated case , I will try to make it as brief as >>possible. >>LAVH and LSO 4/98 for Heavy bleeding and pelvic pain >>in lower left quadrant, >>Laporoscopy -11/98 Severe Adhesions >>Laporoscopy-4/99 Severe Adhesions >>Laporoscopy RSO 11/99 No adhesions Diagnosed with endo. on lower bowel >>and in the cul de sac , but Dr. did not remove it, instead chose to >>leave it and with hold HRT for 3 months to allow endo to die off. >>Pain still perstists, I have had 2 colonoscopies, a cystoscopy, an MRI a >>couple of CT scans, several ultrasounds.Did Lupron 3/99 for 4 months >>first 3 months were hell but then all symptoms stopped, levels were >>checked and it was found that I was producing estogen. I am currently >>doing an aromatase inhibitor treatment using a medication called >>Arimidex. AT first it was working wonderfully , I started the treatment >>in September 2000 and by Nov. I was off all pain medications, But >>around Christmas the pain started to return . My Dr. had been checking >>my levels all along and as the estradiol increased so did the pain. I >>am now on a double dose of the Arimidex and right away my levels went >>from 143 down to below 15 but 2 weeks later they were retested and they >>were up to 175! >> >>My Dr. has discussed my case with a Dr. from Yale and it was suggested >>that possibly using perganol to find an ovarian remnant. My question >>is. If this is the course we take, Once I am on the perganol how long >>would it be before the remnant could be located if there is one? > >within a couple of weeks -- the pergonal is used to stimulate your >ovaries to produce follicles that could be seen on ultraosund, thereby >locating the ovarian remanat and allowing it to be removed. Pregonal is >a drug used to stimulate multiple ovualtion in infertility treatments
>Dr. Shanahan Thank you for your responce,Would perganol not be the drug of choice to use in this case?
>
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