WOMENS-HEALTH Messages for May, 2000: Re: chronic pelvic pain

Re: chronic pelvic pain

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Mon, 15 May 2000 15:39:24 -0500 (CDT)

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In reply to: felica: "chronic pelvic pain"

At Sun, 14 May 2000, felica wrote: >
>For the past 12 years i have had pelvic pain. I've had 2 laproscopies
>which say everything looks fine and there was no endometryosis. I have
>had 4 abortions and 4 live births. My periods are extreamly heavy
>bleeding about 5-7 days many huge clots. So I went to an obgyn and he
>put me on lupron for three months which took away the pain just about
>completely (but i did have side affects hot flashes night sweets). After
>the three months he put me on birth control (my tube's have been tide
>for 8 years).Starting the last pack of three not taking the last week of
>pills i started bleeding, it started out light but became increasingly
>more with excrutiating pain for weeks i bled for 24 days. My doctor
>recomends either hysterectomy or the scraping of my uteros which did
>look to be inlarged in my last lapro in Nov 99.What do you recommend or
>think might be going on I'm confused and scared. By the way i'm 35 and
>my mother had the same problems and had a hysterectomy at the same age
>but she's gone now so i can't ask her the specifics.Please help.
>
>--
>Felica Petty
>

With the story presented (pain, bleeding, enlarged uterus), without fibroids, I'd be thinking of adenomyosis, a benign condition which has been written about many time bewfore and can be found in the archives. A sonogram by a skilled radiologist familiar with the "soft signs" of adenomyosis or an MRI can be helpful.

Unfortuntely, the only treatment for intractable problems from adenomyosis is a hysterectomy. If so, consider a laparoscopic hysterectomy or a laparoscopic supracervical hysterectomy (leave the cervix in for pelvic support).

--
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 ;-)

Next message: Harvey S. Marchbein, M.D.: "Re: ECHOGENIC MASS"
Previous message: Stacey: "Missed Micronor pill/ Brown discharge"
In reply to: felica: "chronic pelvic pain"

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