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Re: MENORRHAGIA: Diagnostic Laparoscopy

From: D. Ashley Hill, M.D. (anonymous@obgyn.net)
Sun, 2 Dec 2007 17:57:57 -0600 (CST)


Laparoscopy does help diagnose PID and endometriosis, but I'm still confused as to why she needs laparoscopy for abnormal uterine bleeding. The original post in this thread did not mention it, but perhaps you have pelvic pain, or infertility, or painful intercourse, etc., which would be reasons to consider laparoscopy. I would suggest that you call or visit your gyn to get a better idea about why he or she has suggested a laparoscopy. Laparoscopy is a great tool for diagnosing and treating many conditions, but alone it is not very worthwhile for diagnosing the cause of abnormal uterine bleeding. Best wishes,

Ashley Hill

At Sat, 1 Dec 2007, anonymous wrote: >
>They will be looking for PID or endometriosis.
>
>At Sat, 1 Dec 2007, Katie wrote:
>>
>>The nurse told me that they were going through my belly button. Should
>>I then be concerned that this is not the right procedure? I asked if
>>they were going to go through my cervix because I thought thats what
>>would happen and the nurse laughed.
>>At Fri, 30 Nov 2007, D. Ashley Hill, M.D. wrote:
>>>
>>>At Fri, 30 Nov 2007, Katie wrote:
>>>>
>>>>I have been on here a few times with my saga...
>>>>24 y.o. female, no children. D and C in July, on birth control pills,
>>>>very light spotting (only when I wiped) for 2 periods after D and C.
>>>>Dr. tried Provera 10mg for 10days, very light spotting occurring 2.5
>>>>weeks after. snip
>>>
>>>I suspect they meant diagnostic hysteroscopy (not laparoscopy). A
>>>laparoscope goes into your abdomen to look at your external uterus,
>>>ovaries, intestines, etc., and it does not diagnose abnormal uterine
>>>bleeding. A hysteroscope is a small scope that goes through the cervix
>>>into the uterus (I have some photos on our web page and an article that
>>>explains the procedure at http://www.lochhavenobgyn.com ) to look at the
>>>uterine cavity. I am concerned with your history that you may have
>>>endometrial adhesions (also called synechiae or "Asherman's Syndrome")
>>>but it could just be that you have a very thin uterine lining that does
>>>not bleed much. Regardless, your doctor can determine the cause by a
>>>quick hysteroscopy. Good luck!
>>>
>>>Ashley Hill
>>>
>>>--
>>>D. Ashley Hill, MD
>>>Division Director, Dept. of Obstetrics and Gynecology
>>>Florida Hospital Orlando
>>>Medical Director
>>>Loch Haven Ob/Gyn Group
>>>235 East Princeton Street, #200
>>>Orlando, Florida 32804
>>>http://www.lochhavenobgyn.com
>>>
>>>Please understand that due to time constraints I am unable
>>>to answer any personal emails, therefore they will receive no response.
>>>
>>>These comments are general educational comments and should not
>>>be construed as specific medical advice. The best person to
>>>answer your health care questions is your physician or other
>>>health care provider. Thank you very much.
>>>

--
D. Ashley Hill, MD
Division Director, Dept. of Obstetrics and Gynecology
Florida Hospital Orlando
Medical Director
Loch Haven Ob/Gyn Group
235 East Princeton Street, #200
Orlando, Florida 32804
http://www.lochhavenobgyn.com

Please understand that due to time constraints I am unable to answer any personal emails, therefore they will receive no response.

These comments are general educational comments and should not be construed as specific medical advice. The best person to answer your health care questions is your physician or other health care provider. Thank you very much.






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