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Re: Ovarian Remnant after Hysterectomy?(Dr. McIntosh)

From: anonymous@obgyn.net
Tue, 22 Aug 2000 15:07:03 -0500 (CDT)

>So if the FSH is say under 23(this is what the lab that I have bloodwork
>done says)would you suspect ovarian remnant ? My levels were checked in
>July 10days
>after having the 4th lupron injection the FSH was 17 and the estradiol
>was 42, this is with having no ovaries!Prior to doing the Lupron my
>levels were FSH 36.9 and estradiol 52 My understanding is that
>endometriosis in itself can produce estrogen Is this correct?I did 4
>months of lupron and found no change at all with the pain.Not saying
>that others wouldn't benefit from it though.I am awaiting the results
>for the levels that I had drawn last Thursday.
>>

I would suspect remnant ovarian tissue with such an FSH, and the failure of your pain to respond to Lupron is very concerning, as this suggests that removing the ovarian tissue (assuming that it could be found!) is not likely to improve your pain. 

--
William D. McIntosh, MD, FACOG
Clarksville, TN


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