WOMENS-HEALTH Messages for April, 1998: Re: periods less then 28 days

Re: periods less then 28 days

From: Joseph Pastorek, MD (anonymous@obgyn.net)
Thu, 30 Apr 1998 06:13:07 -0500 (CDT)

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Received: (from anonymous@obgyn.net) by talk.obgyn.net (8.8.8/8.8.8) id GAA21190 for WOMENS-HEALTH@OBGYN.net; Thu, 30 Apr 1998 06:19:52 -0500 Message-Id: <199804301119.GAA21190@talk.obgyn.net> Date: Thu, 30 Apr 1998 06:19:51 -0500 (CDT) Errors-To: postmaster@obgyn.net Reply-To: anonymous@obgyn.net From: anonymous@obgyn.net (Joseph Pastorek, MD) To: anonymous@obgyn.net In-Reply-To: <199804300426.XAA16485@talk.obgyn.net> X-Original-Sender: 172-31-32.ipt.aol.com @ 152.172.31.32 Subject: Re: What is it going to take for the MD's to entertain the notion that PTLS may possibly be a real syndrome?

At Wed, 29 Apr 1998, Cheryl wrote: >
>Okay, I have gotten several responses to my posting about PTLS. If so
>many women have the same symptoms post-tubal, why not admit it is a real
>problem and find ways to help us other than a hysterectomy or birth
>control? I am only thirty-two years old. Women my age don't normally
>get hysterectomies. That is supposed to happen when we are past our
>child-bearing years, or so I thought.
>I have not been able to successfully take any form of birth control I
>have tried in the past. I got my tubes tied so I would NOT have to take
>the pill. It is redundant. I do not intend to begin to take it now or
>at any future time. I have the right to choose not to. So, my only
>other alternatives are to live with it or have a hysterectomy. Or so
>the one MD said that responded. Wow, what a choice. This MD does not
>have to live through what I and many other women have to live through
>from month to month. It is easy for him to say that. Sorry if I ruffle
>a few feathers with that.
>This is a sore subject with me. My ob-gyn NEVER made any mention of
>this kind of complications post-tubal. Given this kind of information I
>never would have had this procedure performed. Just because PTLS is not
>recognized by the medical community that is no reason for women not to
>be told about the possibility of the same kinds of symptoms I and MANY
>other women experience post-tubal.
>Here is a question for the MD's. Of the total number of women that have
>had tubals, how many experience the same kind of symptoms described by
>those of us that suffer from PTLS? sorry, I believe completely that it
>exists. I experience these symptoms month after month after month.
> Any feedback is welcomed! Thanks!!
>
>--
>Cheryl M. Rock
>

Cheryl,

Some doctors believe in PTLS and some don't. Some literature reports suggest that it exists, and some say it doesn't. I think it's important for a doctor to discuss the topic before doing a tubal ligation for the simple reason that there's no cut and dry answer to the question. The patient should be informed.

If you believe in PTLS, then there ARE some things which must be considered. The LEAST damaging method of performing the tubal ligation is supposed to have the least chance of resulting in PTLS. So a clip is better than taking out an inch of tube. Also, one must always be aware of the "off the pill" effect. If you're on birth control pills for years, with light and regular and comfortable periods, and then you have a tubal ligation and get OFF the pill, your periods are going to get heavier, hurt more, etc, etc. This would NOT be PTLS, but rather the effects of being off the pill.

Anyway, I sympathize with your plight. Up to now, the only ways I can see to treat what you have are 1) hysterectomy, 2) pills, and 3) endometrial ablation (not necessarily well-accepted but seems promising).

Dr. Joe

-- ************************************************* doctorjoe@aol.com "All things are connected.

Joseph Pastorek, MD Some things are just more 4816 Wade Drive connected than others." Metairie, LA 70003-2716 - Dirk Gently U.S.A.

FAX (504) 885-8206

co-editor: Medscape Women's Health http://www.medscape.com Louisiana state representative: OBGYN.net http://www.obgyn.net

see http://www.obgyn.net/states/bios/pastorek.htm *************************************************

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