WOMENS-HEALTH Messages for January, 2002: Re: ???'s about LSH and possible endo/adeno

Re: ???'s about LSH and possible endo/adeno

From: Robin (anonymous@obgyn.net)
Fri, 25 Jan 2002 11:23:50 -0600 (CST)

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At Fri, 25 Jan 2002, Ann wrote: >
>Hi:
<snipped for space>

>I have been tested
>recently for endo and had been tested 2yrs ago, both times >neg..I am

Ann, How were you "tested" for Endo? The only way to definitively diagnose is by surgery...laparoscopy or laparotomy.

>scheduled for a lap supracervical hyst in Feb..my endo tests have been
>neg, I had a hysterscope, and dnc at the same time, in Sept.
>The path report showed nothing in the way of endo..just hormonal
>imbalance.

Hysteroscopy and D&C do *not* show Endometriosis.

>I have take hormonal agents in the past 4 yrs to try to control this
>problem..I also had an ablation in Nov to try to control this, but it
>failed as I still have the same problems, hence the hyst.
>Is laproscopy the only way to "see" endo deep inside the uterus and what
>does it do, and is it worth it at this point to try it, before doing the
>hyst? I also had my tubes tied (cauterized mini-lap) 5 yrs ago..my
>problems started a year after that.

Laparoscopy will *not* diagnose Adenomyosis. Adeno is Endometriosis within the MUSCLE of the uterus. The only way to definitively diagnose Adeno is with a pathological exam of the uterus after it is removed.

As I said above, Laparoscopy is the only way to diagnose Endometriosis....Endo that is on other structures, such as the bowel, bladder, ureters, cul-de-sac, ovaries, etc., etc., etc.

>If I go ahead with the LSH would the dr be able to see if I have endo at
>that time? I do know that an MRI does show some adeno, but I am
>claustrophic and couldn't get in that tube, lol..dr said >that was ok

MRI is not perfected enough to diagnose Adeno. It is still far too new to rely on.

>since he was going to do the hysterecope, the MRI was to r/o adeno, I
>assumed that the hysterscope would show adeno, on the report it does
>state there were no "adenexal masses", does that mean no adeno?
>Thanks for any information you can give me.

The Hysteroscopy can not see inside the muscle of the uterus...just the uterine lining.

Adnexal masses are masses on the ovary...so, no adnexal masses mean your ovaries didn't have masses.... Robin

-- ~Robin~

List Owner, Chronic Pain Support Group http://groups.yahoo.com/group/ChronicPainSupportGroup

I'm not a Dr. or any type of Medical Professional. The information I share is based on what I have experienced personally or what I have learned.

Next message: Robin: "Re: occuring fibroid cysts in the breast"
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In reply to: Ann: "???'s about LSH and possible endo/adeno"
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