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Re: DR. GEORGE - Adenomyosis From: yenta (anonymous@obgyn.net) Fri, 29 Jan 1999 21:15:53 -0600 (CST) Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Catherine: "Uterine Artery embolization" Previous message: anonymous@obgyn.net: "Re: amenorhea" In reply to: yenta: "Re: Adenomyosis" At Fri, 29 Jan 1999, yenta wrote: > >Do Adenomyosis and Endometriosis frequently occur together or is it more >likely to have one condition and not the other? Dr George, I read your list >of Adeno symtoms and found some to be similar to Endo symptoms which I >have experienced. If one continues to experience low back sacral pain >after endo has been excised, is it possible that the pain may be due to >Adeno although uterus appeared to be of normal size during endo lap? If >not Adeno, then what could be possible cause of cyclic sacral region pain ?> >Thanks in advance, >Yenta > >At Thu, 14 Jan 1999, anonymous@obgyn.net wrote: >> >>Sue: Yes, hysterectomy with or without oophorectomy (removing ovaries) is the >>treatment of choice for Adenomyosis. >>============================= >>How does this affect Perimenopause woman? >>It the ovaries are removed menopause will occur. Ask you doctor, if the >>ovaries are takes, to start you on Premarin (NOT Generic) in the first few >>days of the post operative time. >> >>If the ovaries are left in place the effect of the surgery should all be >>positive. >> >>REMEMBER THAT IN MEDICINE AS IN LIFE -- NOTHING IS 100% >> >>-- >>============================ >> >>ADENOMYOSIS IS DIAGNOSED pre operatively IN ONLY 15% of cases. The final >>diagnosis is made by the pathologist who examines the 'specimen.' >> >>Symptom (and signs) of ADENOMYOSIS can help >>-- usually the woman is in her 40-50 age range. >> >>--60% have abnormal uterine bleeding. >>--50% have HEAVY bleeding. >>--25% have IRREGULAR spotting / bleeding. >>--25% have painful menses (Remember that 'bleeding' and 'menses' are NOT the >>same thing. >> >>D&C = no value in diagnosis. >>Ultrasound of the pelvis may be suggestive but NOT diagnostic. >>MRI = Not proven one way or the other. >>Complaint of "Low mid back (over the sacrum) aching or pain and a 'falling out >>feeling' are also suggestive of this diagnosis. >> >>You Doctor can get some idea of the diagnosis if many of these criteria are >>met, and your uterus is 'larger than normal AND boggy to palpation. >> >>Hormone treatments frequently make it worse. >> >>GnRH agonists (ask you doc) nay give temporary relief, but It will return. >> >>======================= >> >>Yes, hysterectomy (can do vaginally or abdominally or Lapscope). >> >>Good luck, L. >> >>============================================= >>*Note: Opinions expressed here are for educational purposes only. >>This information is not intended to supplant the need for you to >>consult your physician prior to choosing or planning therapeutic >>options and/or interventions. >> >>**Private emails cannot be answered. >> >>**Thank you. >> Next message: Catherine: "Uterine Artery embolization" Previous message: anonymous@obgyn.net: "Re: amenorhea" In reply to: yenta: "Re: Adenomyosis"

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