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Dr. L. Montgomery, sorry, i needed clarification....

From: H. (anonymous@obgyn.net)
Thu, 21 Sep 2000 19:41:20 -0500 (CDT)


Did you mean you agree with the gyn that I should try stopping the premarin? Or agree with me that I am reluctant to stop it? Sorry I am confused....

Thank you so very much!

At Wed, 20 Sep 2000, Lynn D. Montgomery, MD wrote: >

>At Wed, 20 Sep 2000, H. wrote:
>>
>>I wrote earlier about my problem and finally got to see an ob/gyn today
>>who left me feeling more uncertain than ever.
>>
>>Had a total hysterectomy 9/99 with removal of both ovaries.
>>Had cyst on right side removed 2/2000, that was blocking my right
>>ureter. pathology "ovarian" tissue/cyst.
>>
>>Had same kidney pain but in left side on 8/31/00, ended up with stent
>>placed to open the ureter. CT scan showed bilateral cysts roughly 1.5
>>cm
>>
>>Today 9/20 had ultrasound showing a 3 cm cyst on left nothing on right.
>>still have stent in place.
>>
>>Gyn said they rarely do surgury on such small cysts, might try going off
>>the premarin. But what she seemed to be ignoring was the stent and fact
>>that cyst is blocking my ureter..... I am still in pain, its totally
>>interfereing with any type of "normal" life. I am very upset.
>>
>>What about laparscopic surgery to remove cyst, take a look around? and
>>then remove stent too....
>>
>>I am reluctant to stop the premarin, I just turned 40 last week, seems
>>like there are a lot of bad side effects from not having any premarin.
>>

>
>First, I agree with the Premarin. Second, It is pretty unusual for you
>to have sooo many cysts of ovarian origin after removal of both your
>ovaries. There is a fairly common occurence called ovarian remnant
>syndrome, but this should be remedied with a follow-up surgery and no
>problems after. I have never heard of somebody having a problem for
>than once from this. It concerns me that you physician cannot seem to
>get all of your ovarian tissue. I would be inclined to seek a second
>opinion and I would seek it from somebody who is very qualified in
>gynecologic surgery...
>Lynn
>
>--
>Lynn D. Montgomery, MD
>Director, Maternal-Fetal Medicine
>Rocky Mountain Perinatal Center
>Missoula, Montana
>
>**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.
>
>**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.
>
>**Thank you for your understanding ;-)
>




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