PREGNANCY-BIRTH Messages for December, 1998: Re: Strange Pains after Miscarriage.

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Re: Strange Pains after Miscarriage.

From: William F. von Almen, II, MD (anonymous@obgyn.net)
Tue, 22 Dec 1998 15:42:00 -0600 (CST)

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Previous message: William F. von Almen, II, MD: "Re: Pregnancy Question"
In reply to: Michelle: "Strange Pains after Miscarriage."

At Fri, 18 Dec 1998, Michelle wrote: >
>I'm a 34 y/o mother of three. My last child had to be delievered by
>cesearian. Since that time, I had an abnormal pap which showed a
>vaginal wart on my cervix. This was removed during a biopsy & then a
>procedure where my cervix was frozen was performed. On October 4th of
>this year I found out I was pregnant. At first everything was seemed to
>be progressing normally. But as my uterus continued to grow, I
>developed small pains in my right side right where my c-section scar
>starts. About 2 weeks ago, I started bleeding & miscarried last
>Thursday (Dec.10th). Here the last couple of days I have experienced
>rectal pain everytime I pass gas or have a bowel movement. Also, when
>my bladder is full, I have some pain right along my cesearian scar. I
>know from having an ultrasound that my uterus is still swollen, but I'm
>continuing to have these pains. Also, in the past year or two, I've had
>these same pains during the first few days of my menstrual period. My
>question is this: Is it possible that I have adhesions from my cesearian
>scar? I'm worried because this seems to get progressively worse & my
>ob/gyn doctor doesn't seemed concerned. Should I try to find another
>doctor? Thanks in advance for your help.

Michelle Scar tissue is certainly a possibility. That can give pain during times the uterus is very active, ovulation, sex, menses. I tell my patients to try NSAIDS (ibuprofen, naproxen) first, use them consistently and use a lot of them (2-3 ibu. or 2 naprox each time, using ibu. 3-4x a day and naprox. 2-3x a day). I then remind them the only way to make the diagnosis is surgically, with a laparoscope, and depending on the amount of pain, desire for fertility in the near future, that will tell me if we should go in and have a look. It is ultimately the patients decision, not mine. This pain may just be your uterus shrinking after the miscarriage. BTW, did you have an ultrasound before the miscarriage and did you have a D&C? Best of luck to you.

-- William F. von Almen, II, MD, FACOG Editorial Board, OB/GYN.NET Pregnancy and Birth New Orleans, La.

The above comments are for educational purposes only.

Next message: Kass: "anovulation? pregnant!?"
Previous message: William F. von Almen, II, MD: "Re: Pregnancy Question"
In reply to: Michelle: "Strange Pains after Miscarriage."

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