Re: Treatment for Adenomyosis?

From: Kelly McMahon (Kelly.McMahon@FinleyHospital.org)
Thu Oct 31 14:11:50 2002


We have a 26 yo female who is desiring pregnancy. She has a history of IGA neuropathy in which she had bilateral kidney transplants. She is currently taking cellcept post transplant. She is questioning which would be advised, cellcept in pregnancy or Imuran. Anyone have any experience either way they would like to share? Thank you!

>>> rchudacoff@mylinuxisp.com 10/29/02 07:36PM >>>

Have you thought of using Neurontin?

Richard Chudacoff, MD

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Joanna Massey (Reg. Comp Nurse) Sent: Tuesday, October 29, 2002 7:15 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Treatment for Adenomyosis?

At Fri, 15 Jun 2001, ENDODOK@aol.com wrote: >
>26 year old G1P1, with extremely symptomatic adenomyosis( severe
cramps, bleeding and dyspareunia.) Underwent presacral neurectomy 1996 with good relief of her dysmenorrhea and dyspareunia for 4 years. Desirous of another child, thus not a candidate for hysterectomy. Has been on Depo-Provera for 6 months but continues to have above symptoms. Diagnosis confirmed by MRI ("diffuse adenomyosis") >Appreciate any thoughts on conservative RX.
>
>J.Glenn Bradley MD

I am a Reg Nurse with adenomyosis in the anterior aspect of my uterus. I have alot of experience and information on helpful treatments for endometriosis and adenomyosis. I suggest the following Tx. 1)MRI scan/Mirena IUD inserted under GA I suggest taking a MRI scan of the uterus to find where the adenomyosis is present. (If it is scattered throughout the entire uterus, the Mirena iud will probably be expelled). However if it is in an area away from the posterior of the uterus, it may be implanted successfully, (Under GA.-for those,like me in extreme pain) 2)Organochlorins. Reduce the amount of enviromental organochlorines to help reduce oestrogen levels. I have a water filter to filter out chlorine. Seat down on toilet before flushing, avoid swimming pools...etc 3)Organic Diet. Plenty of organic fruit and veges,cut out dairy foods, chicken and red meats. See naturopath-for diet, allergy hair tests and celloids,(esp, Magnesium, zinc and BIO E- also helps reduce post-op adhesions) 4)Celloids as mentioned above ( for at least 6-12 months) 5)Exercise when able (walking) No jogging or heavy lifting. 6)Ponstan, to reduce prostaglandins. For further information, don't hesitate to E-mail me as I genuinely want to help other women with this debilitating and painful disease.

--
Yours sincerely
Joanna Massey




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