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Re: ADHESIONS: Post period/pre ovulation pain
From: AEKG (anonymous@obgyn.net)
Fri, 6 Jun 2008 12:49:29 -0500 (CDT)
Gah! Adenomyosis! That's not what I wanted to hear!! :)
Just curious as to why it could be adenomyosis if it is my ovaries that
are the area where the discomfort is? Also curious why it is the most
uncomfortable in the week or so prior to ovulation and my period is
really not painful? Is it the hormones that cause the follicles to
mature that irritate the endo/adeno? The surgical note from my last
c-section in 3/06 said that the "uterus, fallopian tubes and ovaries
were all normal"
Thank you very much for your replies and the information!
Amy
At Thu, 5 Jun 2008, T. Lyons, MD wrote:
>
>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.
> ** Private emails cannot be entertained due to time
> constraints; consequently, they will receive no response.
>
>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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