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Re: ? For the Drs.(Dr.Hill)From: Peggy (anonymous@obgyn.net)Sat, 10 Feb 2001 09:07:53 -0600 (CST)
At Fri, 9 Feb 2001, D. Ashley Hill, MD wrote: > >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 > >Dr. Hill, Thank you for your responce!I did do a 4 month course of Lupron from 3/99 - 7/99 with the first injection I saw an increase in pelvic pain for about 3 weeks, then I started having hot flashes, night sweats ,vaginal dryness etc... which meant the drug was working and all Isaw was a slight decrease in the pain.Then into the 4th injection all the menopause symptoms stopped.With being on the Lupron my levels were as follows.6/00 FSH-17 Estradiol-42 .7/00 FSH-4.9 Estradiol-67. Since starting the Aromatase inhibitor treatment(Arimidex) in September my levels have been checked quite frequent. 11/00 FSH-44 Estradiol-41 12/00 FSH-47 Estradiol-58 1-16/01 FSH-8.5 Estradiol-140 I am waiting for the results that were drawn last Tuesday. It had been 2 weeks since doubling up on the mgs of the Arimidex.I Have heard of Dr. Reich being a good endo Dr.. Have you heard of him?I know my Dr. doesn't want to do any more surgery on me and personnaly I don't think I want him to. I don't think he is quailified in doing surgery dealing with ovarian remnant and obviously he is not comfortable dealing with endo on or around the bowel. So I guess it is time to get a second opinion with a specialist. The problem is finding one.Thanks again. Peggy
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