Re: Strange pain during menses

From: Tony Blair (antoineb@cgocable.ca)
Sun Oct 31 03:02:00 1999


From: Ricardo Savaris <savaris@orion.ufrgs.br> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@talk.obgyn.net> Sent: Friday, October 29, 1999 5:39 AM Subject: Strange pain during menses

> Dear Drs.
> I have a patient, 24 yold, G1P1 (c-section, done 1,5 years ago)
> For the last 6 months she has experiencing a dull pain on her low right
> side, start on her first day of menses, lasts for 3 hours, with
irradiation > to her left leg. The pain has inhanced, making difficult her walk.
> No dispareunia, no pain on her physical exam.
>
> do you have any idea?
>
> Thanks a bunch
>
> Ricardo Savaris, MD
######################################################

I would bet on parietal endometriosis (shredding of endometrial glands occuring during c/s)

Worth a trial of suppressive tx??? maybe diagnostic and/or therapeutic

Had a few cases like this one. Pain disappeared w Lupron.

Tony Blair md Ob/Gyn Canada





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