WOMENS-HEALTH Messages for January, 2002: Re: ???'s about LSH and possible endo/adeno

Re: ???'s about LSH and possible endo/adeno

From: M. Kelly Shanahan, MD, FACOG (anonymous@obgyn.net)
Fri, 25 Jan 2002 14:47:49 -0600 (CST)

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In reply to: Ann: "???'s about LSH and possible endo/adeno"

At Fri, 25 Jan 2002, Ann wrote: >
>Hi:
>
>I had written about my periods being heavy, prolonged and having severe
>cramping with them and coming every 15 days. I have been tested
>recently for endo and had been tested 2yrs ago, both times neg..I am
>scheduled for a lap supracervical hyst in Feb..my endo tests have been
>neg, I had a hysterscope, and dnc at the same time, in Sept.
>The path report showed nothing in the way of endo..just hormonal
>imbalance.
>I have take hormonal agents in the past 4 yrs to try to control this
>problem..I also had an ablation in Nov to try to control this, but it
>failed as I still have the same problems, hence the hyst.
>Is laproscopy the only way to "see" endo deep inside the uterus and what
>does it do, and is it worth it at this point to try it, before doing the
>hyst? I also had my tubes tied (cauterized mini-lap) 5 yrs ago..my
>problems started a year after that.
>If I go ahead with the LSH would the dr be able to see if I have endo at
>that time? I do know that an MRI does show some adeno, but I am
>claustrophic and couldn't get in that tube, lol..dr said that was ok
>since he was going to do the hysterecope, the MRI was to r/o adeno, I
>assumed that the hysterscope would show adeno, on the report it does
>state there were no "adenexal masses", does that mean no adeno?
>Thanks for any information you can give me.
>
>--
>Ann

during the LSH, if there is endo present your doctor can excise some or all of it. Hysteroscopy and D&C cannot see endo or adenomyosis (adeno is whe the normal uterine lining tissue gets deeper into the uterine wall then it should), although bleeding unresponsive to hormone manipulation or ablation certainly could be adeno -- MRI is good for detecting adneo -- if hte radiologist knows what to look for! Adnexal masses referes to enlargement of your oavaries and has nothin got do with adeno or endo.

You will probalby feel like a new woman once you recover from your LSH. >

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

author of "Your Over-35 Week-by-Week Pregnancy Guide"

**this is for general educational purposes only and does not supplant the need for you to consult with your own physician**
***private e-mails WILL NOT be answered***

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