Re: ENDOMETRIOSIS: Endometriosis on ultrasound?? Surgery 4 months ago -- how could it be there now???
From: T. Lyons, MD (anonymous@obgyn.net)
Sat, 8 Sep 2007 11:43:35 -0500 (CDT)
Message posted on T. Lyons, MD behalf by: Hope, Fibroid and Women’s
Health Forum Moderator
First there are a couple of "no ways". Endo isn't going to grow that
fast. Ultrasound cannot see endometrial implants. However, cystic
ovarian endometriosis (endometriomas) can be seen on ultrasound and
adenomyosis may also be suggested with this technology. Best to ask
your doc what he saw at laparoscopy. It may be that a definitive
surgery would be best in this case. If so find a good endo specialist
who will do this laparoscopically and who will remove all endo
implants. It may be that your ovaries are able to be spared but it is
likely that in this case the uterus may need to be removed. Good luck.
--
T. Lyons, MD
ATLANTA, GA
http://www.thomasllyons.com
http://www.endocenters.net
http://www.obgyn.net/fibroid-resource-center/?page=/all_advisors/T_Lyons
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At Thu, 6 Sep 2007, Michelle wrote:
>
>I had laparoscopic surgery 4 months ago for an ovarian cystectomy. I
>also had an endometrial ablation at the same time. During the first
>postop appointment, my doctor told me that it was a "mess" in there. I
>guess I should have asked him what he meant, instead I just assumed he
>was talking about the various unexpected "surprise" findings that came
>up during surgery in relation to the cyst. He never said anything about
>there being endometriosis in there, although he knew that I had had
>laparoscopy surgery and had been diagnosed with that 10 years earlier.
>If it was there, it seems like he would have said something, wouldn't
>he????
>
>Well, now it is 4 months later and I have been having a lot of pelvic
>pain that has been increasing each month since surgery. The endometrial
>ablation was a success in that I now have amenorrhea, so the pain is not
>linked to menstruation, although it does increase in severity around the
>time ovulation or a period might occur. I went back to my doctor and he
>sent me for an ultrasound. Now, of course, the ultrasound techs aren't
>really supposed to "let on" about anything they see, but she started
>asking me if I had ever been diagnosed with endometriosis. I told her
>that I had, and she just said, "I thought so." Now I have to wait
>another week before I see my doctor to go over the results, and I am
>getting really worried. Is it possible that she could see endometrial
>implants on ultrasound? I don't know how they could be there so quickly,
>especially if there was no mention of endometriosis 4 months ago. Can
>they grow that quickly??
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