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

mittelschmerz causing pelvic adhesions? -- followup question

From: cathy:- (anonymous@obgyn.net)
Sat, 27 Oct 2001 23:16:43 -0500 (CDT)

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In reply to: William McIntosh, MD: "Re: mittelschmerz causing pelvic adhesions?"
Next in thread: D.N.: "Re: mittelschmerz causing pelvic adhesions? -- followup question-Cathy"
Reply: D.N.: "Re: mittelschmerz causing pelvic adhesions? -- followup question-Cathy"
Reply: Richard Chudacoff, MD: "Re: mittelschmerz causing pelvic adhesions? -- followup question"

At Wed, 24 Oct 2001, William McIntosh, MD wrote: >
>At Tue, 23 Oct 2001, cathy wrote:
>>
>>[...munch...]
>>
>>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 aggravated each
>>month by the mittelschmerz...
>>[...munch...]
>>
>>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.

The way I understand it, at ovulation the follicle erupts and releases fluid and/or blood along with the egg. Isn't retrograde bleeding blood and uterine lining getting into the pelvis during menstration? I have read in various sources 2 theories of the cause of mittelschmerz are that the fluid that comes out of the ovary is irritating to the peritonium, or alternatively the fluid is sticky and causes the ovary to stick to the abdominal wall causing a pulling/stabbing pain at the slightest movement. One of the causes of post-surgical adhesions is the irritation caused by leaving blood in the abdomen at the end of the surgery, so it seems that blood IS an irritant. And also with post-surgical adhesions they are believed to start with internal organs sticking to each other when they are supposed to slide against each other -- another complication of drying out of the tissues, foreign matter and just plain mechanical trauma to the organs which is the inevitable result of surgery. Also it is believed that PIDs can cause the same sort of adhesions that surgery does, and that this somehow is related to the PID spewing gunk about the pelvis.

So, anyway, given that it's pretty straighforward that mittelschmerz cannot cause endometrial adhesions, what about the possibility that mittelschmerz would aggrevate post-operative adhesions, and/or cause post-op-type adhesions?

--
cathy :-)

Next message: Kasia: "endo at 19"
Previous message: anne: "D & C or Hysteroscopic resection or both"
In reply to: William McIntosh, MD: "Re: mittelschmerz causing pelvic adhesions?"
Next in thread: D.N.: "Re: mittelschmerz causing pelvic adhesions? -- followup question-Cathy"
Reply: D.N.: "Re: mittelschmerz causing pelvic adhesions? -- followup question-Cathy"
Reply: Richard Chudacoff, MD: "Re: mittelschmerz causing pelvic adhesions? -- followup question"

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