WOMENS-HEALTH Messages for October, 2001: Re: mittelschmerz causing pelvic adhesions?

Re: mittelschmerz causing pelvic adhesions?

From: William McIntosh, MD (anonymous@obgyn.net)
Wed, 24 Oct 2001 10:46:12 -0500 (CDT)

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In reply to: cathy: "mittelschmerz causing pelvic adhesions?"
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Reply: cathy:-: "mittelschmerz causing pelvic adhesions? -- followup question"

At Tue, 23 Oct 2001, cathy wrote: >
>For the last six months I have been having on-and-off minor pains on my
>right side. They mostly come and go around the week before and week
>after I ovulate (and I have 12 hours of quite intense ovulation pain
>each month). Just to be different from other women, my periods are
>relatively pain-free. In addition, I have a sharp stabbing/pulling pain
>that runs in right about the same right-side spot each time I have an
>orgasm. (If you're a guy, imagine that each time you have an orgasm you
>get kicked in the nuts. Yeah, major not fun.) I'm also having a nagging
>lower back pain on the right side behind where the other pains are. And
>one more symptom is that I'm having lots of weird-looking stools.
>
>My FP believes from the symptoms that this is all the result of
>abdominal adhesions, caused by my c-section 7.5 yrs ago. And that the
>mittelschmerz each month is releasing blood into the abdomen, irritating
>the peritoneum and causing the adhesion damage to gradually worsen each
>month. I guess that this would be similar in mechanism to how PIDs can
>cause adhesions.
>
>I've done research on mittelschmerz (here among other places) and all
>indications were that this is a benign, if annoying, thing. This is the
>very first time I have ever heard the possibility that this would be
>causing damage to the pelvis. Does this sound right to you?

Mittelschmertz does not cause adhesions, and does not cause blood to retrograd flow into the pelvis (you are not bleeding at all in midcycle, or shouldn't be anyway). Endomentriosis can do that, but mittelschmertz is basically benign ovulation pain. I think the odds are that you have adhesions with or without endometriosis. A diagnostic laparoscopy is a good option at this time, to find out for sure.

-- William D. McIntosh, MD, FACOG

This is for educational purposes only, and is not a substitute for consultation and examination by a licensed medical professional.

Next message: Lynn D. Montgomery, MD: "Re: bumps on vagina"
Previous message: Andrea: "Changing Pills"
In reply to: cathy: "mittelschmerz causing pelvic adhesions?"
Next in thread: SarahB: "Re: mittelschmerz causing pelvic adhesions? - to Cathy"
Reply: SarahB: "Re: mittelschmerz causing pelvic adhesions? - to Cathy"
Reply: cathy:-: "mittelschmerz causing pelvic adhesions? -- followup question"

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