WOMENS-HEALTH Messages for March, 2003: Re: 16 year old daughter having problems

Re: 16 year old daughter having problems

From: Richard Chudacoff, MD (anonymous@obgyn.net)
Sun, 23 Mar 2003 19:26:57 -0600 (CST)

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At Sun, 23 Mar 2003, anonymous@obgyn.net wrote: >
>My daughter has had menstrual problems since she began at 11 years old.
>They have always been irratic, heavy and painful, but when she began to
>vomit during every period, she finally let me take her to the dr. She
>was referred to ob/gyn, who told her it's perfectly normal and
>prescribed a high dose birth control pill without even examining her.
>She's been on 3 different pills now and is still having the same
>problems with vomiting. We took her back to the dr and he gave her 3
>choices:
>
>1) referral to ob/gyn again for an exam...she wasn't keen on this
>because she's heard tons of horror stories from her friends
>2) depo provera shots every 3 months to stop the bleeding...she liked no
>bleeding, but not the part about the shot
>3) Prozac - which he said would stop the painful cramping - this was the
>one she chose.
>
>How common these are in treating teenage girls and what side effects
>there might be.
>
>I had a hysterectomy done 1 1/2 years ago for what radiology felt was a
>mass highly suspicious for malignancy during a ct scan (after ultrasound
>hadn't found anything, but increasingly painful) They found adenomyosis
>and endometriosis and left ovaries and some endo on already weakened
>portions of my colon...and dr said there is still something covering one
>ovary up on ultrasound that they're checking on.
>
>I'm wondering why they don't seem to be concerned that it might be
>genetic with her also. (We don't have any uterine cancer in family, but
>several with breast & colon) Is it a wise choice to let her go on the
>prozac for a few months? I appreciate any advice or help at all...it's
>so different when it's your child in pain....thank you!

Your daughter certainly could have adenomyosis or endometriosis, complicating her menstrual cycle. I find that after an emperic trial of birth control pills,a physical examination is necessary to rule out structural abnormalities. Unfortunately it sounds like your daughter has been psyched out regarding the gynecologic exam, which is done by an empathetic practitioner is never as bad as the thought itself. other options of therapy include high dose nonsteroidal anti-inflammatory agents such as Motrin, Bextra and/or Vioxx

-- 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 :).**********************************************************************

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