WOMENS-HEALTH Messages for October, 2008: Re: OVARIANPAIN: Can an elevated CA-125 be related to Lupus?

Re: OVARIANPAIN: Can an elevated CA-125 be related to Lupus?

From: Dr. Herbert A. Goldfarb (anonymous@obgyn.net)
Thu, 9 Oct 2008 15:49:52 -0500 (CDT)

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Message posted on Dr. Herbert A. Goldfarb behalf by: Hope Waltman, Fibroid and Women’s Health Forum Moderator

Obviously some problem exists to have a rising CA 125. Although this test is non specific and can rise from a number of problems including infection. I suggest an MRI of the Pelvis. If the ultrasound was not endovaginal, imaging ovaries is difficult.

Dr. Herbert A. Goldfarb New York Downtown Hospital, http://www.nohysterectomy.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 Thu, 9 Oct 2008, dj wrote: >
>I have been experiencing severe, constant (day & night) pain of my left
>ovary since mid May. I have been cleared by a Neurologist, Urologist &
>GI Doctor. I have consulted a Gyn-Onc. Ultrasound appears clear, but
>the CA-125 has been elevating. First 43, now 55. For the past 10 days
>my right ovary is experiencing the same pain. I am literally disabled
>by this pain. It is difficult getting out of the car. I can not stand
>for long, I can not walk far. I am bloated and swelled so badly last
>week one of my doctors gave me diuretics. I can barely eat, but I've
>gained weight. I'm nauseous. The ultrasound was extremely painful. My
>periods have become irregular and for the last 6 months last only 1 day
>or less---as little as 8 hours---and then done, no spotting. I have no
>'cramps', I would not consider the ovarian pain cramps, it is so extreme
>and localized. I do have lupus. Now that both ovaries are affected, I
>am wondering, can lupus attack ovaries? Are there anti-ovary antibodies?
>Would the CA-125 escalate due to lupus activity? Or am I grasping at
>straws because if it is lupus I know there will be a treatment and
>potential relief?
>
>The Gyn-Onc wants me to have another CA-125 at the end of the month and
>consult another doctor. I'm exhausted and don't know how I can bear
>this pain much longer.
>
>Thank you

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