WOMENS-HEALTH Messages for November, 1999: Re: Typical Endo Signs?

Re: Typical Endo Signs?

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Tue, 30 Nov 1999 19:39:55 -0600 (CST)

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At Tue, 30 Nov 1999, Kimberly wrote: >
>Hi,
>
>I have had endometriosis for several years, as did most other female
>members of my family. I had much of it removed in 1998, followed by a
>course of Lupron which damaged me further (see our website if you wish for
>information about the effects of Lupron,
>http://www.angelfire.com/ma2/APAL)....anyhow as it stands it seems that the endo
>has returned once again.
>
>I am again having increasingly painful, lengthy periods (though this time
>the most severe pain has seemed to switch ovaries), pain occuring mostly
>before and in the late parts of the cycles, bloating, nausea, occasional
>fever, diarrhea, etc. My wonderful OB/GYN has been very helpful to me
>throughout this, and before we try surgery again, she's having me visit a
>pain management clinic at the hospital beforehand.
>
>Anyhow...One of the things I've heard about endo is that it can cause pain
>during sexual activity, though I've yet to see anything very specific on
>the topic. When speaking of pain, are they referring to pain felt within
>the vagina or surrounding areas, or, do they mean that it's a pain from
>the ovaries contracting after climax? (Or any pain following climax, for
>that matter.)

Different possibiities depending upon the location of the endometriosis and the adhesions involved.

> If it's the latter, would that be because the blood and tissue flow is
>restricted from the endometriosis clogging the Fallopian tubes?

The mechanism hasn't been elucidated but what you describe above doesn't make sense from an anatomic point of view.

>Approximately speaking, how often does either types of these pains occur in
>persons with endometriosis?

No published data yet.

>Can they be caused by another condition?

Painful intercourse as you describe can be from a multitude of reasns. Sorry I can't be more specific but there are too many possibilities to review.

>Thanks...I apologize for all the questions, but hope someone can shed a
>little light on the subject.
>
>--
>Kimberly
>

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**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.

**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.

**Thank you for your understanding ;-)

Next message: Harvey S. Marchbein, M.D.: "Re: Difference between Laproscope and Laparotomy"
Previous message: Jeffrey: "Antibody-E ant titers"
In reply to: Kelly Shanahan, MD: "Re: Post-partum joint pain"

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