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Re: Hyrdosalpinx to Cyst Diagnosis

From: JH (anonymous@obgyn.net)
Wed, 19 Dec 2001 10:42:36 -0600 (CST)


At Tue, 18 Dec 2001, William McIntosh, MD wrote: >
>At Tue, 18 Dec 2001, JH wrote:
>>
>>For the past three months or so I've experienced lower abdominal pain,
>>left side. I went to my physician, who had me take a sonogram...The
>>left ovary could not be visualized. My physician recommended that I
>>have an MRI. The MRI report indicated that the appearance of a
>>hydrosalpinx was evident. I then went to my OB-GYN, who told me I had a
>>hyrdosalpinx, I must have had clamidyia, I had a 75% chance of becoming
>>pregnant, and to take Motrin for the pain.
>>
>>I then decided to go to a Reproductive Endocrinologist to understand
>>better my chances of becoming pregnant in 6 months, options, etc. The
>>RE looked at the MRI and recommended I take an HSG. He didn't think I
>>had a hydrosalpinx (pain only on one side, no past history of infection,
>>etc). He was right. My Fallopian Tubes were perfectly fine, he said.
>>He thinks that I have a cyst somewhere near the fallopian tube and the
>>ovary...and in 3 months, to have it reevaluated (by whom?...).
>>
>>I'm relieved it is not a hydrosalpinx. The thing is, I wake up every
>>night with the abdominal pain (it goes away during the day). Should I
>>wait the three months, and visit with a regular OB-GYN again? Or should
>>I have it removed? If I plan on becoming pregnant in 6 months, what do
>>you suggest?
>>
>>Any thoughts, suggestions would be helpful.
>>
>>--
>>Thank you, JH.
>>
>Tough choice. I would be considering a laparscopy for diagnosis and
>management. On the one hand, you don't want to do anything that is
>going to mess up your pregnancy, but on the other, daily pain is a
>serious problem, and you still don't know what is going on in your
>adnexa.
>
>--
>William D. McIntosh, MD, FACOG
>

Dr Mc Intosh, Thank you for your response. Followup Question- Can a laparscopy complicate pregnancy?

--
Thank you, JH.





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