WOMENS-HEALTH Messages for August, 2001: Re: Ovarian Remnant? Need advice(Drs. Please)

Re: Ovarian Remnant? Need advice(Drs. Please)

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 15 Aug 2001 16:55:55 -0500 (CDT)

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Reply: Peggy: "Re: Ovarian Remnant? Need advice(Drs. Please)Dr. Montgomery"

At Wed, 15 Aug 2001, Peggy wrote: >
>Good Afternoon Drs,
>I had a laporscopy done on July 16th and I did course of clomid prior to
>the surgery .The results were that my Dr did not find any
>endometriosis,he did not find any cysts or ovarian remnants and I didn't
>have any adhesions.I also did clomid 2 months prior to having the
>surgery and each time I did it the pain was so bad. SO my questions are
>why with doing the clomid each time would I be in such pain that I would
>be up crying at night? I have migraines ,moodswings,acne breakout ,
>increased vaginal discharge and breast tenderness the same time of the
>month EVERY month????
>I have had 2 colonoscopies a barium a cystocopy a couple of ct scans and
>several ultrasounds done.Pain is in the Lower left Quadrant.My Dr. tells
>me that if I still am producing estrogen (which I know I am because I
>DON'T have any menopause symtoms)That he will have to believe it is from
>internal conversion, What the heck does this mean? From the fat cells?
>can fat cells produce that much estrogen to cause me to have a cycle?
>LAVH-LSO 4/98
>Laporoscopy 11/98 severe adhesions
>Laporoscopy 4/99 severe adhesions
>Laporscopy 11/99 RSO No Adhesions, Endo on lower bowel and cul de sac
>(didn't remove it)
>Laporoscopy 7/16/01 Didn't see any endo
>Posterior repair,Abdominal wall biopsey
>Peggy

Peggy, I can offer only two suggestions. The first would be counseling for pain management, biofeedback and coping skills. The other would be pain mapping. This is newer procedure where a small scope is done on an awake patient allowing the operating surgeon to determine the exact location or origination of the pain... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**Note:  Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship.  This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

Next message: Lynn D. Montgomery, MD: "Re: Possible pregnancy"
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In reply to: Peggy: "Ovarian Remnant? Need advice(Drs. Please)"
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