Re: PCOD & Chronic Pelvic Pain

From: Paulo Barrozo, MD (barrozo@mioma.com.br)
Tue May 29 19:54:58 2001


Mark Perloe wrote:

> We have had numerous patients with endometriosis like history and
> PCOS who find there pain is alleviated by metformin therapy.
>
> At 04:53 PM 5/25/01 -0500, you wrote:
>
>> Vik wrote:
>> >
>> > I have a pt 34 g2p2 h/o 2X c/s, and tubal ligation,with recently
>> > diagnosed PCOD, andlong standing chronic pelvic pain, affecting
>> daily
>> > life, walking, dyspareunia etc, dx lap scope showed cystic
>> ovaries, EUA
>> > "boggy" uterus 8-10wk, maybe adenomyosis, no endometrial implants,
>> nl
>> > appendix, nl cul de sac, nl uterosacral implants, . Considering
>> > metformin, lupron trial, she wants tah/bso, stating same thing
>> occurred
>> > with her mother and she had a tah/bso at age 37 with resolution of
>> pain.
>> > What do you all think?
>

How do you explain the mechanism of pain reduction in this case?

What dose of metformin do you use?

Regards.

--
 =========================
==========================
=====
 Dr. Paulo R. M. Barrozo, M.D., TEGO, TCBC
 Centro de Tratamento de Miomas
 Rio de Janeiro  -  São Paulo -  Brazil
 CRMRJ 52.40001-9    CRMSP 100019
 Tel: 0800-236030
 barrozo@mioma.com.br    http://www.mioma.com.br
 =========================
==========================
=====




use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Wed Dec 2 04:50:23 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.