Re: PID & Dysmenorrhea -- connection?
From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sat, 31 Mar 2001 20:49:48 -0600 (CST)
Let's see. I don't want to miss anything so let me start with the last
question and work towards the top.
Pat PID MAY be a cause of dysmenorrhea but nearly all women with
dysmenorrhea have never had PID.
Chronic PID starts out as acute PID (the whole enchilada - temperature,
pelvic pain, infection affecting the fallopian tubes and possibly nearby
organs including the ovaries, uterus and intestines (including the
appendix)). What makes chronic PID chronic is that it recurs from the
original infection rather than a reinfection. Symptoms and complaints
resurface from various causes (intercourse, decreased immunity, other
intercurrent infections, etc) or from no discernible cause.
In some women, there may be a reason to do a laparoscopy to determine
whether or not adhesions from PID may be part of the problem.
Hope this helps and write back anytime for more information.
HSM
At Sat, 31 Mar 2001, anonymous@obgyn.net wrote:
>
>I have a question regarding the relationship between PID and dysmenorrhea. I
>have read in numerous texts that dysmenorrhea can be caused by PID. But do
>they mean a current inflammation of PID? Or do they mean a woman who has HAD
>PID? I'm confused! Also, what's the difference between chronic and acute
>PID?
>
>A brief history: I was diagnosed with PID at age 17. Hospitalized for a
>couple of weeks. Had IV antibiotics, a couple different kinds (don't
>remember which they were), and also had a laparoscopy. They determined PID
>had spread to liver (?). I had a second case of PID about a year and a half
>later. Also hospitalized. Intense pain thereafter. My OBGYN let me know
>that a radical hysterectomy would be my only solution (at age nineteen, that
>was NOT an option!). I have not had an inflammation in eleven years (knock
>on wood). However, I have intense menstrual cramps. I've been on the pill
>for the past six years, and had severe cramps and pms starting a week before
>my period (yes, even ON the pill my cramps were unbearable). I'm off the
>pill, and pms is MUCH more tolerable, but the pain is excruciating still
>(only about five days prior, but now it's lasting two days into my period as
>well). Dysmenorrhea runs in my family (paternal grandmother and cousins
>had/have to be in bed for one week).
>
>Is past PID a potential cause for current Dysmenorrhea?
>
>Sorry my questions soooo long!
>Dominique
--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York
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