WOMENS-HEALTH Messages for May, 2002: Re: Endep/amytriptyline for chronic pelvic pain?????

Re: Endep/amytriptyline for chronic pelvic pain?????

From: William McIntosh, MD (anonymous@obgyn.net)
Tue, 14 May 2002 09:33:03 -0500 (CDT)

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In reply to: Helen: "Endep/amytriptyline for chronic pelvic pain?????"

At Tue, 14 May 2002, Helen wrote: >
>Thought I'd posted this earlier but it didn't show so I'll try again -
>sorry if it turns up later!!
>I'm 31 with 1 child - had abdominal Burch, paravaginal and posterior
>repair in Sept 2001. Since resuming intercourse, have had chronic pain
>on sitting and there is a v.specific point on the vaginal wall which is
>extremely painful on examination. My urogyn thinks that a suture is
>irritating a nerve and causing this pain. I also have the usual pain
>from a G3 UP- I am currently taking digesic, naprosyn 750SR and panadol
>for the above. Is endep a usual treatment for this type of pain? Has
>anyone else had it/had any success? How does it work? Does it block pain
>signals? Is there anything else I can do? I'd be grateful for any help
>on this one...
>
>Thanks,
>
>--
>Helen
>

I am sorry, but I am not familiar with "endep", nor could I find it in my immediately available references. I have had some considerable success with injecting a long acting local anesthetic combined with a long acting steroid into a specific target area, if such and area can be identified, as it would appear is the case with you.

-- 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.

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Previous message: William McIntosh, MD: "Re: How do I know if my ovarian cyst is rupturing?"
In reply to: Helen: "Endep/amytriptyline for chronic pelvic pain?????"

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