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Re: ADHESIONS: Post period/pre ovulation pain

From: Dr. Tom Lyons (anonymous@obgyn.net)
Mon, 9 Jun 2008 17:54:19 -0500 (CDT)


Message posted on Dr. Tom Lyons behalf by: Hope Waltman, Fibroid and Women’s Health Forum Moderator

Really can't answer the questions you have but would suggest that adenomyosis is still the likely answer. Visually this is not capable of diagnosis at the time of surgery. It requires pathology to document the diagnosis. Sorry.

Dr. Tom Lyons, Atlanta, Georgia http://www.thomasllyons.com

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 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.




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