WOMENS-HEALTH Messages for July, 1999: Re: Endometriosis

Re: Endometriosis

From: Harvey Marchbein. M.D. (anonymous@obgyn.net)
Thu, 29 Jul 1999 10:17:04 -0500 (CDT)

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In reply to: Maria: "Endometriosis"

At Tue, 27 Jul 1999, Maria wrote: >
>I am 30 and I was diagnosed with this in Sept 96. I have tried male
>hormones whose side-effects are horrific, I cannot use the pill anymore
>as it is likely I will have a stroke, and there are instances of blood
>clots in my family.
>
>My symptons include:
>
>Very painful periods, which are heavy & light, regular / irregular.
>Considerable pain in the right of my groin, and left of my back. Heavy
>discharge often containing blood. Attacks of 'thrush' approx every 3
>weeks, other unexplained vaginal infections, headaches, nausea, mood
>swings, extremely painful breasts. Intercourse so painful that I do not
>attempt it, insertion is okay, but anything further and pain gets to the
>stage of fainting.
>
>My two questions are af follows, relevant to my case:
>
>1. Is there much point in trying hormone injections?
>
>2. Would it be beneficial to have laser treament to reduce some of the
>scaring.
>
>--
>Maria Ganderton
>

You don't say how the diagnosis of endometriosis was made. If done via laparoscopy, OK. If deduced, the diagnosis may or may not be correct. It sounds like you suffer from what is commonly considered PMS (hundreds of symptoms clumped into one diagnosis). You may also have CPP (chronic pelvic pain) syndrome with other physicial and psychological signs and symptoms associated with it. #1GnRH aginusts such as DepoLupron are vey successful in many endometriosis patients but it is not a panacea.

#2 Recent studies have indicated that surgical intervention is better than other therapies for many recalcitrant cases of endometriosis.

It might be beneficial to consult an endometriosis specialist and consult on this very frustrating situation.

-- Harvey Marchbein, M.D.

This is not to be construed as a physician-patient relationship which should only be untaken in face-to-face consutations. This is for educatinal purposes only.

Next message: Susan: "Recurring Bacterial Vaginosis"
Previous message: Harvey Marchbein, M.D.: "Re: leg pain, abnormal bleeding"
In reply to: Maria: "Endometriosis"

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