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Re: Can an Ovarian Remnant be seen on laparoscopy??

From: anonymous (anonymous@obgyn.net)
Sat, 25 Mar 2000 06:56:56 -0600 (CST)


At Fri, 24 Mar 2000, D. Ashley Hill, MD wrote: >
>At Fri, 24 Mar 2000, anonymous wrote:
>>
>>I have been seeing alot of posts on ovarian remenant syndrome. I had a
>>negative laparoscopy for chronic pelvic pain in February of this year. My question is, could what the therapist
>>felt be an ovarian remnant and if so, could it be seen on laparoscopy??
>
>You did not mention if you have had prior removal of the ovaries.
>Ovarian remnants can only occur after removal of one or both ovaries, so
>if you have not had this type of surgery, it cannot be an ovarian
>remnant. No disrespect to your massage therapist, but I sincerely doubt
>it is possible to feel a pea-sized piece of ovary through the skin, fat,
>muscle, fascia, peritoneum, and intestines that lie over the ovary.
>During laparoscopy a small piece of ovary should be visible, but this is
>assuming the ovary is not covered by intestines, as is often the case.
>Sometimes, when there is suspicion for an ovarian remnant, I will
>prescribe clomiphine citrate (clomid) to stimulate the ovary to produce
>a cyst. That way, it's easier to see during surgery.
>
>Best wishes,
>Thank you for the reply, Dr. Hill and yes, both of my ovaries have been removed. I won't even mention anything like this to my gyne anymore as he looks at me like I am joking or something. But, you did answer my question about the therapist, but she was just puzzled about what she was feeling, I'm sure. But, if I did tell my gyne any of this he would just tell me that they could not have missed it. Again, thank you for your time.
>
>--
>David Ashley Hill, MD
>Associate Director
>Department of Obstetrics and Gynecology
>Florida Hospital Family Practice Residency
>http://home.mpinet.net/dahmd
>
>My apologies, but due to time constraints I am unable to answer private e-mails.
>



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