WOMENS-HEALTH Messages for November, 2000: Re: I am not sure

Re: I am not sure

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 29 Nov 2000 12:03:11 -0600 (CST)

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At Wed, 29 Nov 2000, Tina wrote: >
>Well, the period showed up today, exactly 30 days since the beginning of
>the last one. I was hoping it would help ease the pain in my pelvis,
>but NOT! The pains aren't shooting down my right leg though so that is a
>plus.
>
>Over the couple of years my periods were running every 21-23 days now
>this one came at 30 days, does this mean that they are starting to
>straighten out on their own? Or is this just the beginning? The periods
>have been like this since my son was born 6 years ago. A couple of
>months I bled all month long. Luckily there were regular periods in
>between those. Severe cramps, heavy bleeds, once very regular periods
>now irregular. Pelvic/hip pain, and ultrasound showed enlarged uterus
>with fibroids, measuring 10.6 x 4.9 x 5.9 cm in ultrasound taken a month
>ago.
>
>My question is this, my doctor sent me to an orthopedic surgeon because
>of the pelvic/hip pain. Orthopedic said it is not a bone problem. More
>likely a uterus problem. Ob/gyn said it was a bone problem, not a
>uterine problem.
>Orthopedic sent request to my regular doc to order an MRI of my pelvis
>and lower back. Will this MRI show if my uterus has grown larger? Will
>it give a better detail of how many fibroids there are? Will it show
>anything else?
>
>I am not pregnant, have had 3 kids, 1 vaginally and 2 by c-section, with
>severe adhesion after last pregnancy. Fallopian tubes adhered on both
>sides had to be surgically released..
>
>Please advise.
>
>thanks
>
>--
>Tina
>

Tina, The MRI will show the uterus and pelvic structures, but is not the imaging modality of choice to assess those structures. It will give an excellent look at the hips. The pelvic structures on MRI do no reliably visualize because of the distortion caused by the bones surrounding the pelvis... 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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