WOMENS-HEALTH Messages for March, 2008: Re: HYSTERECTOMY: Hysterectomy and left healthy ovaries, now 4 months later, 4 cysts!

Re: HYSTERECTOMY: Hysterectomy and left healthy ovaries, now 4 months later, 4 cysts!

From: anonymous@obgyn.net
Sat, 8 Mar 2008 16:57:09 -0600 (CST)

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In reply to: William F. von Almen, II, MD, FACOG: "Re: HYSTERECTOMY: Hysterectomy and left healthy ovaries, now 4 months later, 4 cysts!"

>From Herbert a Goldfab MD;;; Most small cysts are functional ie. related
to ovulation. If these cysts contain Endometriosis, then they could cause cyclical pain.Otherwise the routine cysts should not cause pain. Your physician needs to look for other causes. The OCP's should be OK to try.

At Fri, 7 Mar 2008, William F. von Almen, II, MD, FACOG wrote: >
>M
>
>This is the same advice I would give my patients. No one knows what
>causes cysts like this. Suppression with ocp is a hallmark of therapy.
>It is normal to have some discomfort as you start the pill and begin to
>hormonally manipulate the cysts...Dr. von Almen
>
>At Thu, 6 Mar 2008, M wrote:
>>
>>I had a hysterectomy exactly 4 months ago. I've had increasing pain
>>over the last couple of months, so I went and saw my doctor. An
>>ultrasound revealed 1 cyst on the left ovary and 3 cysts on the right
>>ovary. Both ovaries were seen at the time of my TVH and deemed healthy.
>>I'm wondering how it is that these could form so quickly. What would
>>cause that? They are all under 4 cm, so my doctor wants me to take OCPs
>>for 6 weeks and have another ultrasound. Is there really a chance that
>>the OCPs might work? My other question is that since I've started taking
>>the OCP (2 days), I've noticed the pain is getting worse. Is that
>>normal? Does that mean it's doing something to the cysts? It kind of
>>scares me!
>
>--
> 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.
>

--
Hysterectomy is not s msndstedf procedure for this condition. Yes there is an increased risk of endometrial cancer but I would suggest a thorough curettage and if the tissue is not atypical I would use megace for three months and then repeat the evaluation. I have treated many  women for this condition in this manner and have never been sorry.

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Previous message: William F. von Almen, II, MD, FACOG: "Re: MENORRHAGIA: Irregular bleeding"
In reply to: William F. von Almen, II, MD, FACOG: "Re: HYSTERECTOMY: Hysterectomy and left healthy ovaries, now 4 months later, 4 cysts!"

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