Re: ADHESIONS: Post period/pre ovulation pain
From: T. Lyons, MD (anonymous@obgyn.net)
Thu, 5 Jun 2008 18:56:10 -0500 (CDT)
Message posted on T. Lyons, MD behalf by: Hope Waltman, Fibroid and
Women’s Health Forum Moderator
The most likely diagnosis is adenomyosis - a variant of endometriosis
which involves the muscular wall of the uterus. Second in line would
be adhesions or scar tissue. There also could be persistent endo but
this is the least likely issue at your age. Solutions to the problem
would include hormonal suppression or surgically removal of the
adhesions and possibly even hysterectomy if the problem was severe
enough and you were unable to be successful with medical therapies.
--
T. Lyons, MD
ATLANTA, GA, Sightline of Atlanta
http://www.thomasllyons.com
http://www.endocenters.net
http://www.obgyn.net/fibroid-resource-center/?page=/all_advisors/T_Lyons
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.
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At Wed, 4 Jun 2008, AEKG wrote:
>
>I am 40 yrs old with a history of what was described after a lap as
>moderate to severe endo with adhesions. Fortunately, I do not have
>significant cramping or pain from my endo. I have 2 children by
>c-section in 2004 and 2006. For the past few months, I have noticed
>that about a week after my period, I get a dull, aching, fairly
>uncomfortable feeling in the area where my ovaries are (the same place
>my doc palpates during the internal exam). I presume that this week in
>my cycle is when the follicles are maturing and maybe the ovaries are
>increasing in size or swelling somewhat, but I am puzzled as to why my
>ovaries are hurting so much and I am wondering if they could be caught
>up in adhesions? I do get pretty intense sensations when I ovulate -
>kind of a build-up of pain and then a sharper pain, and then everything
>kind of goes back to "normal". I don't recall feeling this discomfort
>prior to ovulation in the past, so I'm wondering what is going on. My
>main guess is maybe adhesions are causing the problem? Would there be
>another explanation?
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