WOMENS-HEALTH Messages for June, 2002: Re: 8 months post hysterectomy bleeding after intercourse...every time?

Re: 8 months post hysterectomy bleeding after intercourse...every time?

From: Richard Chudacoff, MD, FACOG (anonymous@obgyn.net)
Sun, 23 Jun 2002 13:43:41 -0500 (CDT)

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Reply: Robin: "Re: 8 months post hysterectomy bleeding after intercourse...every time?"

At Sat, 22 Jun 2002, anonymous@obgyn.net wrote: >
>I'd been having heavy bleeding, pain, fatigue, etc for over a year and
>after nothing showed on ultrasound, military dr did a lap. I was told
>there were just some adhesions...but no biopsy was done. I kept having
>problems and after a painful ultrasound, one of the military dr's
>ordered a CT Scan.
>
>I was called immediately and told Radiology found mass they thought was
>highly suspicious for malignancy. Military Ob/Gyn felt certain it was
>only adenomysosis instead and did hysterectomy...said adenomysosis and
>also alot of endo, some of which was on pockets of diverticulosis, so
>she left it rather than damaging the colon. She also left my ovaries.
>
>My question is...it's now been 8 months after surgery...had an episode
>of bleeding after intercourse w/ husband, went to see military pcp and
>was told he didn't see any signs of granulation or infection, so I just
>figured whatever it was had cleared up. Since then, I've had bleeding
>everytime I've had intercourse with my husband and it's to the point now
>where he's scared to touch me. I also have a slight stabbing pain every
>now and then around the right ovary. He's also noticed a difference
>with my upper abdomen...it will really get bloated and harden up, no
>matter if I had anything to eat or not...and stays that way for a long
>time.
>
>I'm just really wondering if it could be that the endo left in spread or
>what else might be causing these symptoms? I would really appreciate it
>if anyone could help.

I think it could be any of the options that you mentioned. One option is to go see the doctor while you are bleeding. The other option is a provocative test, where you either are shutdown, by turning off the ovaries, or stimulating the endometriosis to cause pain. Another option would be a laparoscopy, by an excellent laparoscopist, to remove all the endometriosis they can see. There is a new product on the market called Interjel, which I have used a few times in my severe adhesion cases. I doubt the military will buy this for you but you can try champus, unless of course you are active duty.

-- Richard Chudacoff, MD, FACOG Chudacoff Obstetrics & Gynecology, PLLC Sugar Land, TX

Note: opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private emails cannot be entertained due to time constraints; consequently, they will receive no response.

**Thank you for understanding :).**

Next message: Richard Chudacoff, MD, FACOG: "Re: no subject received Sat, 22 Jun 2002 15:43:15 -0500"
Previous message: Richard Chudacoff, MD, FACOG: "Re: Wate rand Cyrosurgery"
In reply to: anonymous@obgyn.net: "8 months post hysterectomy bleeding after intercourse...every time?"
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