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Re: Ovarian Remnant after Hysterectomy?(Dr. McIntosh)From: chris (anonymous@obgyn.net)Thu, 31 Aug 2000 20:10:47 -0500 (CDT)
At Tue, 22 Aug 2000, anonymous@obgyn.net wrote: > >>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 > Hi! I have a question-why doesn't the Lupron shut down the ovarian remnant, if present, the way it would shut down an ovary? Would this situation be an example of Lupron failure? In other words, if Peggy had ovaries perhaps the Lupron would not have affected them either? I seem to recall one of the doctors saying that Lupron does have a certain percentage of failure. Thank you.
-- Chris Smith
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