Re: Two interesting cases in one day, your opinions please

From: Paul Prior MD (pprior@earthlink.net)
Fri Jul 21 23:07:43 2000


On Fri, 21 Jul 2000 22:53:36 -0500, "Daniel Flaherty" <drdanf@earthlink.net> wrote:

>Case two
>A 13 y/o G0 with severe dysmenorhea. Unresponsive to last 4 or 5 cycles of OCPs and NSAIDS. Actually went to the ER last month at menses due to the pain. US then was normal. Exam today was remarkable for central uterine pain. She is not sexually active, and her mom was with her today. The does not seem to be an "above the neck" case.
>Any other ideas for a treatment before a Diagnostic laparoscopy?

Did she ever have menses without pain? Rudimentary horn blocked with accumulation? I never trust ER scans - would look myself at time of pain.

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