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Re: CHRONICPAIN: Can Anyone Please Give Me Some Advice
From: Mandy (anonymous@obgyn.net)
Wed, 12 Dec 2007 17:50:14 -0600 (CST)
Dr. Futterweit,
Thank you for the information. I am very grateful for it. I'll discuss
this with my doctor and see what we can find.
Thank you so much!
At Mon, 10 Dec 2007, Walter Futterweit, MD, FACE,FACP wrote:
>
>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
>
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