Re: ? For the Drs.
From: D. Ashley Hill, MD (anonymous@obgyn.net)
Fri, 9 Feb 2001 23:30:11 -0600 (CST)
At Fri, 9 Feb 2001, anonymous@obgyn.net wrote:
>>At Fri, 9 Feb 2001, Peggy wrote:
I had another Laporoscopy 11/99, This time my Dr.
>>>was going to do a RSO and look for endo, He did find endo on the lower
>>>bowel and on the cul de sac but did not remove it. He ws going to
>>>withhold HRT for 3 months to allow the endo to die off.Well I have tried
>>>continuos BC, Lupron And am now on an Aromatase Inhibitor Treatment.When
>>>my hormone levels were checked a couple weeks ago they were FSH-8.5
>>>Estradiol-140.
>>>I have so much pain both on the left and right side where the ovaries
>>>were and down into the vagina.
You have a very complex clinical history, so anything I discuss will be
purely speculation. It's possible you have an ovarian remnant, as the
FSH and estradiol levels are normal. You might have endometriosis,
since your doctor was not able to remove the endo during the last
laparsocopy. Finally, you might have pelvic congestion, although the
first two diagnoses seem more likely. A few months of GnRH agonist
therapy might help, since these powerful medications suppress ovarian
function and decrease pain from endometriosis.
It's time for a second opinion. Look for a gynecologist experienced in
endometriosis and pelvic pain, and who has considerable experience with
laparoscopy and open surgery. It's always best to bring your old
records, especially operative reports and biopsy reports. Good luck.
DAH
When I first started this treatment and
>>>the levels started going down I saw a decrease in the pain, But with the
>>>levels going up my pain has increased quite a bit.My Dr. has doubled my
>>>dosage of the Arimidex(aromatase inhibitor) and he said if this doesn't
>>>help he doesn't know what else to do for me. I asked him if it would be
>>>senseless to do a CT Scan or Ultrsound and he said no. I have a CT Scan
>>>scheduled for Thursday. My question is, If I have an ovarian remnant
>>>would it possibly show up on the CT Scan?
>>
>>maybe
>>
>>He is also having them look at
>>>lymphnodes, What would this be for? I am totally frustrated and
>>>discouraged .I also have a slight rectocele that at first my Dr. said
>>>was caused by not enough estrogen and when that is resolved the
>>>rectocele should get better. I have enough Estrogen and I have for a
>>>while so what do I do about that?
>>
>>depends on if you are haivng symptoms or not -- if no symptoms, you
>>don't need to do anything
>>
>>I am taking 2,7.5/500 lortab 3-4 times
>>>a day for the pain which doesn't help with the bowel movements. My Dr.
>>>Mentioned sending me to either the Mayo Clinic Or a Clinic in Mass. for
>>>possible research??? Any Suggestions from the Drs. on here would be
>>>appreciated. Thank you,Sorry this was so long :0)
>>>Peggy
>>
>>have non-gyn possibilites for your pain been explored? especially
>>intestinal causes? have you had a colonoscopy?
>>
>>Dr. Shanahan,
>thanks for our responce,Yes I have had 2 colonoscopies a barium and a
>cystoscopy evrything came back normal.And as far as symptoms of the
>rectocele, With taking the lortab I am haiving trouble expelling the
>feces I have to place a finger in the vagina and push back to push it
>out.
>Peggy
>>--
>>M. Kelly Shanahan, MD, FACOG
>>S. Lake Tahoe, CA
>>
>>**this is for educational purposes only and does not supplant the need for you to consult your personal physician.
>>*** Private e-mails WILL NOT be answered!!!!
>>
--
D. Ashley Hill, MD
Associate Director
Department of Obstetrics and Gynecology
Florida Hospital Family Practice Residency
Orlando, Florida
The above is general medical information, and should not
be construed as specific treatment advice. Due to time
constraints, I am unable to answer individual emails.
Thank you.
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