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Re: endometriosis treatments...another question for the doctors

From: jwang, M.D. (anonymous@obgyn.net)
Mon, 30 Apr 2001 22:41:58 -0500


Another laparoscopy and an attempt to destroy visible pockets of endo. Endo can cause this pain. More likely the option is Lupron or progestin therapy.

At Mon, 30 Apr 2001, Kim wrote: >
>When you say another surgery, are you meaning another lap or a different
>type of surgery? Also, when he does the pelvic exam, there is always
>pain when he moves the cervix...is this usually from the endo also?
>
>At Fri, 27 Apr 2001, M. Kelly Shanahan, MD, wrote:
>>
>>At Fri, 27 Apr 2001, Kim wrote:
>>>
>>>Hello, I had a laparoscopy to remove endometriosis in January. I went
>>>back to my physician for the second post-op follow up last week. He is
>>>not happy with my progress. I'm still having some pain, although not as
>>>severe as before the surgery. I am currently taking Loestrin
>>>continuously. He says he wants to give it two more months and if there
>>>isn't significant improvement, we may have to try something else. What
>>>would be the next step after this? I did 6 months of Lupron last year,
>>>have tried BCP in the past, already had surgery, so what next?
>>>
>>>--
>>>Kim
>>>
>>high dose progesterone, danazol, another course of Lupron or another
>>surgery
>>
>>--
>>M. Kelly Shanahan, MD, FACOG
>>South Lake Tahoe, CA
>>
>>author, Your Over-35 Week-by-Week Pregnancy Guide
>>available in all major bookstores and on-line at amazon.com
>>http://www.amazon.com/exec/obidos/ASIN/0761526986/o/qid˜6597740/sr=8-1/ref=aps_sr_b_1_1/103-7407404-7691069http://www.amazon.com/exec/obidos/ASIN/0761526986/o/qid˜65977407740/sr=8-/103-7407404-7691069http://www.amazon.com/exec/obidos/ASIN/0761526986/o/qid˜65977407740/sr=8-740/sr=8-1/ref=aps_sr_b_1_1/103-7407404-7691069http://www.amazon.com/exec/obidos/ASIN/0761526986/o/qid˜65977407740/sr=8-1/ref=aps_sr_b_1_1/103-7407404-7691069http://www.amazon.com/exec/obidos/ASIN/0761526986/o/qid˜6597740/sr=8-1/ref=aps_sr_b_1_1/103-7407404-7691069
>>
>>****Responses are for educational purposes only and do not construe a
doctor-patient relationship. This does not replace a face-to-face consultation with your own doctor.**** >>
>>***Private e-mails will NOT be answered***
>>
>--
>Kim
>

--
J Wang, M.D
Assitant Clinical Prof.
Tufts University School of Medicine

statements are informational only and should not constitute a medical plan or treatment recommendation.




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