Re: Post tubal ligation syndrome.

From: art fougner, md (evsono@pipeline.com)
Tue Oct 23 10:38:56 2007


And would Mirena be a possible treatment option?

Art

At Tue, 23 Oct 2007, Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. wrote: >
>At Tue, 23 Oct 2007, rmodugno@aol.com wrote:
>>
>>Though thought not to exist, have seen many women who have had a t/l present with menometrragia, pelvic pain and dysmenorrhea. Physical and ultrasound findings pretty much normal. Do they all have adenomyosis?
>>
>>Treatment?
>>
>>Thoughts?
>>
>>Robert Modugno MD MBA FACOG
>>Sylva, NC
>
>Like all syndromes make your criteria wide enough and your incidence
>will increase; irritable bowel syndrome, fibromylagia and unfortunetaly
>now even autism fit into that pattern.
>
>I think there are two things at work, one many women where on oral
>contraception prior to the tuabl and revert back to the terrible periods
>they should be having; two any surgery near the ovaries/tubes will
>desrupt blood flow and antomy such as to make anovualtion and associated
>menorraghia-dysmenorrhea more likely.
>
>I always bring up the mirena option in women with prior history of
>dysmenorrhea who come in asking for tubal.
>
>--
> Take care, John
>

--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton




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