WOMENS-HEALTH Messages for July, 2001: Re: Extreme pelvic pain day before period

Re: Extreme pelvic pain day before period

From: William McIntosh, MD (anonymous@obgyn.net)
Tue, 31 Jul 2001 11:10:12 -0500 (CDT)

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In reply to: Debbie: "Extreme pelvic pain day before period"

At Tue, 31 Jul 2001, Debbie wrote: >
>Hello! I'm a 43, healthy and take no meds. Had a bilateral tubal
>ligation last Oct. For the past 5 out of 7 mos. have had increasing
>pain in specific area -lower left pelvic region. (twice the pain didn't
>precede my period). The pain is so unbearable it is even hard to walk
>and is not relieved very well with OTC pain relief. This past month-it
>woke me in the middle of the night. Lasts for a day and disappears
>completely as soon as I start bleeding. Menstrual flow is very heavy
>(change a super tampon every 2 hours the first 2 days). By day 4 it
>stops. I'm baffled because I have no other symptons that point me in a
>difinative direction on either fibroids, endo, etc. No other PMS-non
>smoker-2 kids-moderate exercise-not overweight. Not sure how
>urgent-immediate appt w/doctor and should doctor exam me close to time
>of period. Thank you

If a laparoscopy failed to reveal fibroids or endo last fall, you are not likely to have them, though there could be fibroids inside the uterus. I doubt that this is serious in the life-threatening sort of way, though the social cosst is very high. You need to see a gyn, but in the meantime, try this. Start taking Ibuprofen 600mgs every 6 hours (assuming that you are not allergic or sensitive, and do not have some underlying medical condition that precludes the use of NSAIDs), beginning 24 hours (at least) before the pain begins, and continuing on a timed schedule, whether you need it or not, until the pain would be expected to have passed.

-- William D. McIntosh, MD, FACOG

This is for educational purposes only, and is not a substitute for consultation and examination by a licensed medical professional.

Next message: Linda: "periods"
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In reply to: Debbie: "Extreme pelvic pain day before period"

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