WOMENS-HEALTH Messages for May, 2000: Re: Does one have to have pain to have adenomyosis?

Re: Does one have to have pain to have adenomyosis?

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sat, 20 May 2000 09:32:31 -0500 (CDT)

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At Sat, 20 May 2000, C Twisdale RN wrote: >
>Not necessarily to have pain. I had bleeding for 8 weeks, had D&C,
>hysterscopy with polyp removal, did Provera and low dose OCP. Still
>bled after all this, as a busy mom and fulltime RN, bleeding this long
>was not on my agenda. Also had bladder problems. After battling with
>my insurance company had TAH,bladder and vaginal repairs in Nov 99 (I am
>32) my doc, (sweet as he is) cam in to recovery room and said, well the
>uterus LOOKED perfectly normal. HA the nurse in me knew better.
>Pathology report came back as much adeno! My point here, is that adeno
>is difficult to diagnosis unless hyst is done and uterus can be
>thoroughly examined. Now mind you I am not saying you need a
>hysterectomy! My point is you may not be able to get an adeno diagnosis.
>Also ablation will not take care of problem fully, this will ablate
>lining, but adeno affects muscle layer of uterus
>
>At Sat, 20 May 2000, Debbie wrote:
>>
>>I would think just heavy bleeding with all causes ruled out would make a
>>doctor suspicious adeno could be the culprit...but not my doctor or the
>>second opinion I saw. Sure I had menstrual cramps with those floods for
>>periods I had for two years..but no where near what woman with adeno I
>>have talked with had/have. Two aspirin free exederin would kill those
>>cramps for me.
>>
>>Can an ablation last if the cause is adeno? My doctor said I would still
>>get cramps with an ablation and I don't anymore:) He did say if I did
>>have adeno(which he didn't think so..think he said that to me to "humor
>>me", if you will)..it probably was a mild case and the ablation would
>>fix me all up..hope he was right:)
>>
>>Thank You:-)

Cindy What a great post! Super advice for anyone suspecting adeno or having unexplained pelvic pain. Thanks for all you do ;^{] bill

--
William F. von Almen, II, MD, FACOG
Editorial Advisor-Pregnancy and Birth
Private Practice
New Orleans, La.

*Please understand I can not respond to private emails.

*These comments are for educational purposes only.  They are
not meant to take the place of an examination by a qualified
health care provider.  They are not intended to be the start
of a physician-patient relationship.

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In reply to: C Twisdale RN: "Re: Does one have to have pain to have adenomyosis?"
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