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Re: Post TAH and sore/numb belly

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Fri, 25 Jan 2002 06:08:15 -0600 (CST)


At Thu, 24 Jan 2002, AMS wrote: >
>I am 7 weeks post TAH/BSO/burch/rectocele repair, had uneventful
>recovery. Everything works appropriately except the surface layer of my
>belly. There is a numb area covering approx. >dishes or, worse, I tried to use my Nordic track today. It's not the
>muscle layer or deeper, just the surface jelly belly. I s this likely
>to be permanent?

I am not sure about what is going on since this is above the incision. If it were below the incision that would be normal. The nerves that supply the skin run from above down so that cutting the skin cross wise severs the nerves and the area below this point loses sensation. But the area above??????????????????????????????? Talk this over with yoour Surgeon.

>
>Also, have appt. to discuss possibly testosterone for low libido (hubby
>says I am very compliant but calls me his "it" because I seem to have no
>autonomous interest in sex. Once he mentioned it, I realized I have
>absolutely no fantasy life (did prior to surgery),takes forever to reach
>orgasm and I'm not sure I'ld really miss sex if it were gone. Was NOT
>the case before surgery, though did notice enhanced drive when they
>tried levlen to control bleeding. Is this indication for testosterone
>and, if it is what are the side effects vis a vis lipids, blood
>pressure, clotting etc. I really don't want another pill but I don't
>like the nickname "Pal" either. Current meds are vivelle dot .05,
>diclofenac 75, flonase, flovent, maxair and singulair. ANy suggestions?
>

Libido and sex response is usually about 90% cerebral and 10% hormonal and physical. Occasionally there are a few women that testosterone will help. This varies a lot from person to person, so discuss it with your physician at length. He/she is more likely to be able to figure out what would be the best route for YOU as an individual. Some people are best treated one way and others diferently. There is a feel that physicians develop as towhat will work for this person and what will work for that person, etc. That is why there are physicians and we haven't been replaced by computers yet.

>Thank you

--
R.Daniel Braun, MD  FACOG   FOG
**Note:  Opinions expressed here are for educational purposes only
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