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Re: ADHESIONS: Post period/pre ovulation pain - Adenomyosis

From: Hope Waltman (anonymous@obgyn.net)
Sat, 7 Jun 2008 18:57:51 -0500 (CDT)


Fibroid-Like Conditions: Adenomyosis http://www.obgyn.net/women/women.asp?page=/AH/articles/Adenomyosis

THE PRESURGICAL DIAGNOSIS OF DIFFUSE ADENOMYOSIS http://www.obgyn.net/women/women.asp?page=/eago/art04

http://www.obgyn.net/educational-tutorials/educational-tutorials.asp?page=/english/pubs/features/presentations/abdalla10/abdalla10-ss

Regards, Hope Waltman, Fibroid Forum and WH Forum Moderator

http://www.hopeforfibroids.org http://www.doctorsinfoweb.com/doctors.htm UTERINE FIBROIDS INFO: http://www.obgyn.net/fibroid-resource-center/

http://www.obgyn.net/fibroid-resource-center/?page=articles/patient_articles

At Fri, 6 Jun 2008, AEKG wrote: >
>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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