WOMENS-HEALTH Messages for August, 2000: Re: 'Multicystic' Ovary

Re: 'Multicystic' Ovary

From: Kelly Shanahan, MD (anonymous@obgyn.net)
Thu, 10 Aug 2000 15:38:56 -0500 (CDT)

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At Thu, 10 Aug 2000, Robin wrote: >
>Hello.....
>
>Either I don't post for months, or I seem to post every week....
>
>This past June, I was diagnosed with having a "Multicystic" Ovary on the
>right, which is suspected as being Endometrioma's. Two days ago, I felt
>that all too familiar pain of a cyst rupturing. I called the Drs.
>office, and the nurse told me that it sounded like a rupture as well.
>Told me to take Aleve 2 pills q 12 hours, Mepergan, which I have for the
>spasms of the Pancreatitis, heating pad, hot bath, and bed rest.
>Yesterday, the pain seemed a tiny bit better...not as constant. Today
>though, it is back and constant. I am going in for a repeat ultrasound
>tomorrow. Anything else I can do in the meantime to help this? Seems
>like I am doing everything possible, but I guess I am looking for a
>magic bullet ;o).

It sounds like you are doing everything you can. You could call your doc and ask for something stronger for the pain >
>Also, what is the average size of an ovary?

The average size of an ovary in a reproductive age woman is 1.5 x 2.5 x 4 cm

My right ovary measured >about 1/2" larger than the left ovary. My left ovary (sorry, can only
>remember the first measurement) was 2.1cm.
>
>If they think these cysts are Endometrioma's (and I know from my post in
>June from Dr. Montgomery that these can't be definitively diagnosed
>with an US), shouldn't they be removed? Since Endometrioma's are blood
>filled cysts, wouldn't that cause more problems with Adhesions
>(something my body makes too much of....much too much)?

Endometriomas are often removed because they casue persitant pain. It is true if they did rupture, you would be likely to get adhesions >
>I have been on DepoProvera since November (taking it every month as
>opposed to every three months) for the Endometriosis. I even asked my
>Dr. in June what we were accomplishing with the DepoProvera, especially
>since it wasn't helping my pain from the Endo or the suspected Adeno.
>His response was, "The cysts may well have been much larger without it."
>I thought that DepoProvera shut down the ovaries, but Dr. McIntosh said
>that it doesn't completely shut them down.

Dr Mac is quite correct. Did your doctor discuss Lupron with you? >
>Any help or information you can give is much appreciated.
>
>Thanks so much!
>Robin

--
M. Kelly Shanahan, MD, FACOG
South Lake Tahoe, CA

This information is for educational purposes only and does not construe a doctor-patient relationship. It does not replace the need for you to consult your own doctor.

***private e-mails will be deleted without reading. Please respect my family time

Next message: Kelly Shanahan, MD: "Re: How long between last pill and start of period?"
Previous message: Robin: "Where is Dr. von Almen, II?"
In reply to: Robin: "'Multicystic' Ovary"
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