Re: next step?
From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sun, 19 Jan 2003 19:41:33 -0600 (CST)
Cindy
Probably need a pelvic us as this is better than mri or ct to tell gyn
problems
At Sun, 19 Jan 2003, Cindy wrote:
>
>I have ORS (dx'd by pain and estradiol, fsh levels), still have uterus
>(long story). I've been taking Synarel for 9 mos now (no addback) and
>the stabbing pain is gone. I had a normal endometrial bx before
>starting it (doc had very hard time getting a sample and I was hurting
>for 3 days after). I went to the RE 2 mos ago with complaints of sacral
>pain, fullness and pressure in left pelvis and buttock, and tingling
>down left leg into sole of foot. did an U/S, was told everything looked
>"fine". symptoms continued so I brought them up at my GI appt. told
>him about the u/s and was sent for an MRI due to hx of abscesses and
>fistulas from Crohn's.
>
>MRI came back with rather vague findings, saying: there was a small
>amount of pelvic ascites of uncertain etiology. the junctional zone was
>normal more inferiorly, but couldn't identify the endometrial cavity in
>the fundus (which was seen on MRI 1 y/ago). there is an irregular
>signal in that region that does not have the classical appearance of a
>dark fibroid on T2. tumor should be excluded. no measurements were
>given.
>
>what should be my next step? is this just an unclear scan that should be
>redone for clarity? or is this a typical finding for someone on Synarel?
>or should I have more invasive testing (hysteroscopy)? I've got an appt
>w/ gyno (not RE) but patience isn't my best virtue...
>
>as always, thanks for your time!!!
--
William F. von Almen, II, MD, FACOG
Chairman, Editorial Advisory Board
Pregnancy and Birth Section
Private Practice
New Orleans, La.
*Please understand I can not respond to private emails.
*These comments are for educational purposes only. They are
not meant to take the place of an examination by a qualified
health care provider. They are not intended to be the start
of a physician-patient relationship.
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