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Re: adenomyosis and US From: quinnobgyn@aol.com Thu Mar 1 14:09:06 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dean Huffman .: "Risks / Benefits of Cesarean -- NEJM" Previous message: quinnobgyn@aol.com: "Re: Vulvodynia" Focal or diffuse hyperechoic changes in the myometrium can be associated with adenomyosis. Latest view is that injury to the nerve plexus at the endometrial myometrial nerve plexus (Krantz, 1959) enables myometrium to invade myometrium (Quinn, 2007). Accompanying fibroids results from intramyommetrial nerve injury (Savitskii, 1981; Quinn, 2007). Ask about sources of neural injury between uterus and brain. Regards -----Original Message----- From: johnprov@sympatico.ca To: ob-gyn-l@dns.obgyn.net Sent: Wed, 14 Feb 2007 11.11AM Subject: Re: adenomyosis and US At Tue, 13 Feb 2007, Joanne Bulley, MD wrote: > >I have a patient who had another gyn say she had adenomyosis by >ultrasound findings. She does not have any pain with intercourse. >Menses controlled by OCPs. Moved to California. Has never been had any >time without insurance. > >She applied for California BC BS (has a NH Athem BC policy) - and they >denied to even write a policy because of the diagnosis of adenomyosis! >(so much for the access to and portability of insurance!) > >Have I lost touch with US diagnoses - I have always been of the opinion >that adneomysis can not be diagnosed by US - and although MRI can - it >is not a foolproof diagnosis there either. > >Any comments? > >-- >Joanne Bulley, MD, FACOG >Solo gyn >Keene, NH USA > Once again a glaring example of why not to order diagnostic tests. I wonder how many asymptomatic fibroids are being embolized because they where picked up on U/S after a belly ache. Why should adenomyosis be a reason to deny health insurance? -- Take care, John Next message: Dean Huffman .: "Risks / Benefits of Cesarean -- NEJM" Previous message: quinnobgyn@aol.com: "Re: Vulvodynia"

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