WOMENS-HEALTH Messages for March, 2000: Re: Adhesions and Hormones

Re: Adhesions and Hormones

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Thu, 23 Mar 2000 20:30:02 -0600 (CST)

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In reply to: anonymous: "Adhesions and Hormones"

At Thu, 23 Mar 2000, anonymous wrote: >
>I have had 2 laprascopic surgeries to look for endometriosis as I seem
>to have all of the symptoms. The first lap in '96 was performed by Dr.
>Paul Perry, who is a very-well known specialist in the pelvic pain/endo
>field. He did not find any endo. But due to bowel problems I was
>having, he had prepped me for possible surgery involving the colon. He
>did find pelvic adhesions on my colon and excised them... My pain was
>greatly relieved but only for about a year. My 2nd surgery in '98 was
>done by a different doctor who found no endo or adhesions... I have the
>same symptoms as most of the women in this forum who have or are
>suspected as having adhesions.... with one minor difference. Birth
>Control pills seem to greatly reduce my pain and most of my physical
>symptoms. The problem is, I do not tolerate BC pills very well at all.
>They tend to cause me to become extremely withdrawn and depressed even
>while taking anti-depressants. My current doctor has mentioned trying
>the Lupron, but at this point, I'm really afraid of any hormone therapy
>due to really bad mental/emotional experiences in the past. I am not
>married and have no children as it is hard to date and have an active
>social life with pain or emotional problems which seem to be my choices
>at this time. I've decided surgery would be a last resort as it just
>seems to make adhesions worse...

In the right hands, especially with BCP problems, it may be your best choice. I'm talking about a Dr. Reich in NY or a Dr. Redwine on the West Coast.

> My question is about the hormones... I
>normally bleed (just from a cut/injury, etc.) very easily and takes a
>while to clot. When on BC pills, my blood flow seems to be much less
>free and I bruise less easily and cuts/injuries clot much faster. Could
>this be the reason BC pills help? If so, which hormone
>estrogen/progesterone would be the culprit? Thanks in advance for any
>responses....

BCP work on endo by suppressing the endo as it does, the lining of the uterus..

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**Note:  Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
and/or interventions.

**Private emails cannot be entertained due to time constraints,
consequently no private emails will receive a response.

**Thank you for your understanding ;-)

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