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Re: Question about Perganol (Drs. Please)From: M. Kelly Shanahan, MD, (anonymous@obgyn.net)Sat, 31 Mar 2001 00:08:10 -0600 (CST)
At Fri, 30 Mar 2001, Peggy wrote: > >Good afternoon Drs., >I have a very complicated case , I will try to make it as brief as >possible. >LAVH and LSO 4/98 for Heavy bleeding and pelvic pain >in lower left quadrant, >Laporoscopy -11/98 Severe Adhesions >Laporoscopy-4/99 Severe Adhesions >Laporoscopy RSO 11/99 No adhesions Diagnosed with endo. on lower bowel >and in the cul de sac , but Dr. did not remove it, instead chose to >leave it and with hold HRT for 3 months to allow endo to die off. >Pain still perstists, I have had 2 colonoscopies, a cystoscopy, an MRI a >couple of CT scans, several ultrasounds.Did Lupron 3/99 for 4 months >first 3 months were hell but then all symptoms stopped, levels were >checked and it was found that I was producing estogen. I am currently >doing an aromatase inhibitor treatment using a medication called >Arimidex. AT first it was working wonderfully , I started the treatment >in September 2000 and by Nov. I was off all pain medications, But >around Christmas the pain started to return . My Dr. had been checking >my levels all along and as the estradiol increased so did the pain. I >am now on a double dose of the Arimidex and right away my levels went >from 143 down to below 15 but 2 weeks later they were retested and they >were up to 175! > >My Dr. has discussed my case with a Dr. from Yale and it was suggested >that possibly using perganol to find an ovarian remnant. My question >is. If this is the course we take, Once I am on the perganol how long >would it be before the remnant could be located if there is one? within a couple of weeks -- the pergonal is used to stimulate your ovaries to produce follicles that could be seen on ultraosund, thereby locating the ovarian remanat and allowing it to be removed. Pregonal is a drug used to stimulate multiple ovualtion in infertility treatments
Sorry
>this was so long and thank you for your time
-- M. Kelly Shanahan, MD, FACOG South Lake Tahoe, CA
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