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Re: ULTRASOUND: recent u/s findings - complacent dr.
From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sat, 29 Mar 2008 10:10:20 -0500 (CDT)
Anon
You need to be sure you are not pregnant. If you are, you need to be
sure it is not ectopic. The fluid in your pelvis can indicate a
ruptured ovarian cyst, and if it is bloody, it will lead to continued
pain until it is absorbed...Dr. von Almen
At Fri, 28 Mar 2008, anonymous@obgyn.net wrote:
>
>Hello:
>
>After more than 2 weeks of consistent pelvic/lower back pain, I went to
>my OB/Gyn. He order a transvaginal u/s and after having to practically
>beg (!) for my results (they would not call me back after repeated
>requests 5 days after the scan), he finally called. I should note that
>during our conversation, he was very non-concerned and even came across
>as a little irritated.
>
>Taken directly from my printed report:
>
>"There is a cystic area within the endometrial cavity and is an anechoic
>space measuring 7mm x 6mm x 8mm. This is within the endometrial cavity
>with thickening of the endometrial stripe measuring 13mm. This may be
>loculated, however, early pregnancy cannot be excluded and follow up
>examination is highly recommended. There is also a moderate amount of
>fluid found in the posterior cul de sac."
>
>So he tells me (ever so causally and complacently) that we need to rule
>out pregnancy. We have 4 beautiful children and have no desire for
>more, so this shocked me as it would be a VERY slim chance that I could
>be. I asked him about the fluid, and he said "it's likely blood cased
>by endo". (??) That's about as far as he went. He recommended throwing
>me on some form of BC after I had already expressed to him my desire NOT
>to (personal choice). He essentially left it that I do not need to make
>an appointment unless I a) want to get on BC, b) have more pain (hello?
>it's consistent and daily), or c) find out that I am pregnant.
>
>I feel very confused, frustrated and disappointed in his reaction and
>lack of concern. I have read that several of my symptoms could very
>well mean an ectopic pgy, and that concerns me as I had a salpingectomy
>(left side) in 2004 due to an EP. Where is my pain? On the left (but no
>tube?), but radiating across my uterus and to my back.
>
>Apologies for the long-windedness of this post! I appreciate any help,
>suggestions or advice as the ER is my next stop if this excruciating
>pain persists.
--
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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