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Re: ? For the Drs.(Dr.Hill)Correction to last post on dats of LupronFrom: Peggy (anonymous@obgyn.net)Sat, 10 Feb 2001 09:11:16 -0600 (CST)
At Sat, 10 Feb 2001, Peggy wrote: > >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 >3/00 - 7/00 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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