WOMENS-HEALTH Messages for September, 2002: Re: Extreme pain, nausea during period

Re: Extreme pain, nausea during period

From: William McIntosh, MD (anonymous@obgyn.net)
Wed, 18 Sep 2002 10:29:33 -0500 (CDT)

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In reply to: tanya: "Re: Extreme pain, nausea during period"

At Tue, 17 Sep 2002, tanya wrote: >
>I just wanted to let you know that I too am going throught the exact
>same symptoms. I am 34 years old and have never had children. I have a
>3 cm cyst on my ovary and I get cramps so bad i almost black out. I
>also have horrible nausea for 5 days out of each month because of my
>period. My period had made my life hell. I have just as of yesterday
>started the birth control pill (Aleese) and I plan on taking it for 3 or
>4 months straight. I hope to God it helps me. I understand your pain.
>I too am frustrated at the lack of concern doctors show to this problem.
>I hope the best for you.
>
>--
>QUADERA
>

I suspect that it is not so much a lack of concern, as a lack of effective interventions. The BCP is the mainstay of treating the pain and bleeding of PMS, and when they fail, the options otherwise are limited. SSRIs, like Prozac and Zoloft have been shown to be useful (no, this is not a "it's all in your head" thing, it just works), though they are really better for the mood swings, hot flushes, sleep disturbances and so on. If you are finished with your child bearing, then something like an endometrial ablation can do a good job. Since both of you are currently childless, that may not be an option that you care to explore.

-- 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: Michelle: "Re: 'Pouch' after hysterectomy (doctor response please)"
In reply to: tanya: "Re: Extreme pain, nausea during period"

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