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Re: I wonder if (PTS & Reanastomosis)From: Amy (anonymous@obgyn.net)Tue, 19 Sep 2000 10:14:57 -0500 (CDT)
At Tue, 19 Sep 2000, anonymous@obgyn.net wrote: > >At Tue, 19 Sep 2000, Amy wrote: >> >>I have been suffering perimenopausal symptoms since the age of 23. I >>had a BTL at the age of 22 4 weeks after my second child was born. I >>was not taking any form of BC before hand but I did use a diaphram. OK, >>it has been almost 5 years since I had the surgery and I still suffer. I >>have hot flashes so severly that my internist had me tested for >>carcinoid syndrome! Thank the Lord all my tests came back negative. My >>first HIAA test was slightly elevated at 10.4 but could have been >>because of my diet before the test. I dunno, but my second test was >>normal at 4.3. Negative CT scan and chest x-rays. Now, I am going back >>to my GYN to discuss the possibilities with her. I wonder though, would >>a tubal reversal (or reanastomosis) solve my problems. I am very >>curious if anyone has had one done and if it solved their physical >>symptoms. Please respond with your ideas on the subject. >> >>My symptoms today include the following: >> >>red hot flushes >>dry, scratchy skin >>acne >>mild weight gain >>fatigue >>hot flushes with exertion >>moderately heavy bleeding >>ovarian cysts on left ovary >>extreme heaviness during period as if I am swollen down there >> >>previous symptoms within a year of surgery included: >> >>severe cramping >>severe pain during ovulation >>depression >>very moderate heavy bleeding >> >>Thanks for having this discussion group! >>Amy > >At the risk of offending some, there is little clinical evidence of PTL, >and none whatsoever that reanastomosing the tubes will help those who do >have problems after tubal ligation. The blood supply to the ovary DOES >NOT come from the tube. You would be better off getting a thorough >clincial evaluation, including thyroid and ovary testing, with a >possible trial of OCPs. > >-- >William D. McIntosh, MD, FACOG >Clarksville, TN Thanks for the response Dr. McIntosh. I have had the thyroid testing and it my TSH was completely normal. When I return to my GYN next Tuesday, I will request the necessary tests for ovary function. When I first went to her for the initial symptoms, she put me on a I think progestorine pill for the 1st 10 days of the month and I did this for 3 months with success. I had no more pains but I did continue to suffer with headaches and fatigue and heavy periods. I realize the discussion that has been taking place in the past 3 years via this website on PTS. I understand from both standpoints for I work in OB/Gyn at my hospital. But, I was just curious if anyone had the procedure of reanastomosis done after a tubal and if they felt it solved their problems. It's just a curiosity question. It wasn't meant to start the flame going again.
-- Amy
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