Re: CHRONICPAIN: Pelvic Pain for 11 Months & Nothing helps!! Please help!
From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Tue, 11 Dec 2007 21:44:41 -0600 (CST)
Laura
I am not sure an MRI will shed any additional light on the subject. I
think you still have to have the laparoscopy. They can look at and
remove the lesion and give you answers that the imaging can not.
I have seen both Interstitial cystitis and pelvic floor dysfunction
cause debilitating pain in patients, so that could be your answer.
Neither are very easy to treat...Dr. von Almen
At Sun, 9 Dec 2007, Laura wrote:
>
>I'm Laura, I'm 22, I live in St. Louis & I have been suffering from
>severe pelvic pain for 11 months now. It started in feb. & I thought
>it was a kidney stone because I have a strong history of them. My
>urologist took an xray & said I have a 3mm stone on the right side.
>Basically said if I don't pass it in 2 weeks to call back & schedule
>surgery to have it removed by cystoscopy. Well 2 weeks went by &
>nothing passed. Set up & appt. for april 21st. Got the surgery, woke
>up & the urologist told me there was no stone there & I needed to
>contact my OBGYN. I went to my OBGYN & she said I needed to see a
>general surgeon, so I went & seen one & he said that he believed my
>issue was OBGYN related & endometriosis was possible. I went back to
>her & She said she was 90% sure I had endometriosis & started me on
>Lupron depot injections. 3 months passed & I was still in severe pain.
>Then she said give it another month.Then she tells me she basically has
>no idea what is wrong with me & wants to do a laproscopy. I made the
>appt. The whole time, I'm wondering why I haven't ever had an MRI to
>determine what exactly this 3mm mass is & wondering why she's not
>seeming to put in any effort to figure it out. She really didn't even
>ask questions, I had to tell her & it's like she didn't listen. I got
>fed up that she was so quick to throw me on $650 monthly injections &
>cancelled the laproscopy appt. I went to a pelvic pain specialist. I
>had to travel 300 miles to see him & He did a normal ultrasound &
>internal along with a vaginal exam & they did a potassium test. He said
>he believes I have interstitial cycstitis, endometriosis & pelvic floor
>dysfuntion. I have been taking the meds he prescribed & doing physical
>therapy for about 6 weeks & the pain hasn't improved. It's obvious that
>I have the pelvic floor dysfunction because when I have biofeedback done
>you can see the pelvic muscles spasm & it does cause pain but is it
>causing all of it? That's a LOT of pain for spasms. I'm wondering what
>this 3mm growth is! It's still there hasn't moved & really hasn't grown.
>It shows up in CT scans & KUB's & it's RIGHT where my pain is loccated.
>As far as my pain, Burning, pressure, sharp, tearing, feels like I can
>bear down & push it out. Sometimes it's better than other times, but it
>never subsides to where its atleast comfortable. Sex is uncomfortable
>also & the pain greatly increases for sometimes days! At this point, I
>have seen so many doctors & I'm unsure what to do or where to turn.
--
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.
William F. von Almen, II, MD, FACOG
Private Practice
New Orleans, La.
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