Re: Question about Perganol (Drs. Please)Dr. Shanahan
From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sat, 31 Mar 2001 20:32:17 -0600 (CST)
Pergonal would be fine to use.
Hope this helps and write back anytime for more information.
HSM
At Sat, 31 Mar 2001, Peggy wrote:
>
>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?
>
>>--
>>M. Kelly Shanahan, MD, FACOG
--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York
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