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Re: Severe pelvic painFrom: Ann (anonymous@obgyn.net)Wed, 30 Sep 1998 12:33:55 -0500 (CDT)
At Wed, 30 Sep 1998, Christy wrote:
>
>I am 25, married, no children. I have always had bad cramps the first
>day of my period. However, in March, I had such severe cramps that I
>shook, had hot flashes and cold sweats, and even the tightest
>doubling-over would not relieve any of the pain. My cramps typically
>come and go like contractions, but these were unreal. I had acute
>appendicitis (and a subsequent appendectomy)10 years ago, and I can
>honestly say that it didn't hurt this bad. Well, at the time I had just
>changed jobs and had no insurance, so I screamed and cried hoping it
>wasn't an ectopic preg. (I have not been using any birth control for
>over a year.) After two hours, the pain subsided, and I slept. For the
>next two days, my ovaries were sore from the cramps.
>
>The next several months were fine, with bad cramps, but nothing like
>that. I began charting my temps, and confirmed that I was ovulating (at
>least according to my temps), and was trying to get pregnant. No
>success.
>
>A few days ago my period started at work, and here came the nightmare
>cramps. I was balled up on the floor in the private bathroom for almost
>an hour, and I would've went to the ER if I thought I could have walked
>to someone for help. It was that bad. Eventually they subsided, and
>again I was very sore (and still am)and went home.
>
>I am going to see a nurse practitioner tomorrow (had an appt. for my
>annual anyway, but then the office called and said my doc had a surgery
>that day, and couldn't reschedule until after November.
>
>Are there any specific questions I should ask? Any other symptoms that I
>might have but am missing? It is very hard for me to miss work for doc
>appt.s, and hard to schedule them, too, so I want to make the best of
>this one. Almost two years ago, I woke up with moderate pelvic pain which increased over the period of the day. My now husband took me to the doctor when I was hurting so bad that I was doubled up in pain and could barely walk. The doctor didn't know what it was and sent me to the hospital for observation (they thought I had appendicitis). The next morning, the pain was gone and the ultrasound showed that I had ovulated. My OB/GYN later told me that I had an ovarian cyst. I've since had two others, one of which required emergency surgery (it grew to grapefruit size). The only way to prevent cysts is to start taking birth control pills. I still got cysts on Triphasic pills and have not had any since switching to monophasic pills. Since you are trying to get pregnant, I don't know what to suggest. You can get into trouble with large cysts. If the cyst gets twisted, the pain can be horrible and cut off blood flow to the ovary. This is an emergency. The cyst can stick around and continue to grow to a size that is a danger to the ovary (it took mine 7-9 days to get that size). Talk to your doctor about what to look for. In one of the "Dr. B" articles on this site, he wrote a very informative article on ovarian cysts. See if you can find it. And I could be mistaken, you could have some other problem. It just sounds exactly what I have been through. Please talk to your doctor about your problem. If you need an appt sooner, try calling and telling the receptionist that you are having severe pain with your periods and you're worried. They might be able to work you in sooner. My doctor's office works like that. I hope you feel better and figure out what is going on. Ann
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