|
Re: CHRONICPAIN: Can Anyone Please Give Me Some Advice
From: Walter Futterweit, MD, FACE,FACP (anonymous@obgyn.net)
Mon, 10 Dec 2007 16:30:43 -0600 (CST)
Dear Mandy,
Yourf symptom of pain with PCOS, and the absence of endometriosis,
suggest what I and others have seen, similar to your history. Pelvic
pains are not unusual in PCOS and may be related to microcyst or larger
follicles which may burst, the enlargement of the ovaries and
intrauterine abnormalities. It is not common for oral contraceptives
not to modify the pain somewhat, but it still remains wsith you even
after its treatment.
Other causes of pelvic pain should be explored: there may be adhesions
from follicle ruptures, an infectious etiology of ovary, etc.
An MRI of the pelvis should also be done to make sure there are no other
potential causes.
Best wishes,
Dr.Futterweit
At Mon, 10 Dec 2007, Mandy wrote:
>
>Hello. I am 25. I am married and we have decided that if we do ever
>have children we will adopt.
>I started getting my period at the age of 10. The first several years I
>experienced a lot of irregularity in my periods. As I got a little
>older, I started having a lot of pain and fatigue with them.
>Endometriosis runs in my family, so at age 15 I started on birth control
>pills to help with the pain and other symptoms I was experiencing (it
>didn't help much, but at least it regulated my periods).
>At 18, I was still having a lot of problems with pain. Depo provera was
>relatively new on the market and my gynecologist thought that it was a
>good option because it would stop me for my ovulating and I wouldn't
>have periods.
>For several years I did have a lot of weight gain, but I was doing
>pretty well.
>In late 2004 I started having a lot of pain. At first, my health care
>provider thought it might be related to my recent appendectomy and
>performed several tests through summer 2005. Having not found anything,
>he refered me to my gynecologist for advice. After more test and
>finally a transvaginal ultra sound, it was found that I had a small
>tumor in my uterus. They did not think that it was casuing my pain, but
>thought it best to remove it. I was scheduled for a exploratory
>laproscopic surgery in December 2005. The tumor was removed, little to
>no trace of Endimetriosis was found, but it was deteremined that I had
>Polycystic Ovaries and was told that it could be treated with hormone
>therapy.
>>I have tried pain medications and herbal remedies to help with the pain,
>fatigue, and other symptoms, but nothing seems to help.
>I am at a loss at what to do. I've switched gynecologist twice since
>the surgery and none of them have seemed to really care about my pain
>and discomfort. One actually told me that "pain like this is just the
>way it is for some women. They have an overly sensitive pelvic area and
>there's nothing we can do about it." Another told me that "you should go
>back to your family physcian because I don't think your pain is related
>anything gynecological." Surely, there must be something I can do?
>Thank you for taking your time to read this and offer suggestions.
--
Walter Futterweit, MD, FACP, FACE
Clinical Professor of Medicine, Division of Endocrinology
Mount Sinai School of Medicine, New York, NY 10029
http://www.aacehost.com/pages/page.php?r=716
|
|
![[ Women's Health Forum ]](http://www.obgyn.net/images_women/wh-forum.gif)