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

Re: mittelschmerz causing pelvic adhesions? - to Cathy

From: SarahB (anonymous@obgyn.net)
Wed, 24 Oct 2001 13:00:36 -0500 (CDT)

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In reply to: William McIntosh, MD: "Re: mittelschmerz causing pelvic adhesions?"
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I have a long history of endometriosis - apart from the pain free periods what you describe sounds alot like symptoms of endo. Good luck!

At Wed, 24 Oct 2001, William McIntosh, MD wrote: >
>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.
>

--
SarahB

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