Re: CHRONICPAIN: Genitofemoral Nerve
From: T. Lyons, MD (anonymous@obgyn.net)
Sun, 31 May 2009 19:45:52 -0500 (CDT)
Message posted on T. Lyons, MD behalf by: Hope Waltman, Fibroid and
Women’s Health Forum Moderator
This is a difficult call. There could be endometriosis involved but the
only way to be sure would be to have a laparoscopy to make the
diagnosis. If this is done it should be done by an endometriosis
specialist who could treat the problem at that setting rather than
coming back later for a therapeutic intervention.
--
T. Lyons, MD
ATLANTA, GA, Sightline of Atlanta
http://www.thomasllyons.com http://www.endocenters.net
Note: Opinions expressed here are for educational purposes
only and, as such, do not constitute a physician-patient
relationship. This information is not intended to supplant
the need for you to consult with your physician prior to
choosing therapeutic options and/or interventions.
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At Fri, 29 May 2009, Lynn Pitman wrote:
>
>I am a 38 year old female...about two years ago I woke up with pain on
>my right side which I thought was groin pain as I have pulled my right
>groin muscle about 5 years ag0..however, the pain manifested itself
>wholly different from a groin pull...the pain was an irritation, like a
>sharp pin sensation, almost felt like little tears being made. The pain
>would come and go. I was an active runner, ran everyday in addition to
>hard sprinting. In March of last year, I felt the pain on my right side
>come back, and then, it was felt on the left side. I went to a
>neurologist who evaluated me and felt it was the genitofemoral nerve
>that was the cause of my pain. I went for nerve block last May and it
>worked, but the pain, after about 2 months, came back. I've seen my
>neurologist a few times after the initial nerve block, and he keeps
>asking me if I am sure that I don't have endometriosis. I had a pelvic
>MRI done last May and there is a small cyst on my right ovary. My
>neurologist wants to rule out any gynecological problems before I
>consider other options. Is there, by chance, any relation to nerves
>hurting because of endometriosis? Can the genitofemoral nerve be
>affected by the ovaries? Can the endometrial lining go on to the nerves?
>I had a pelvic exam done in November 2008, and the OBGYN told me my
>pelvis is fine, that the cyst is small, that I shouldn't worry. I have
>another appointment with an OBGYN in June.
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