WOMENS-HEALTH Messages for July, 1997: Re: How can I get rid of the pain caused by ovarian cysts?!?!

Re: How can I get rid of the pain caused by ovarian cysts?!?!

From: Geffrey H. Klein, MD (anonymous@obgyn.net)
Wed, 2 Jul 1997 10:28:17 -0500

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>I have just experienced my second day at the emergency room due to acute
>abdominal pain caused by a ruptured ovarian cyst. After lieing there
>for about 5 hours in pain and having an excruciatingly painful
>ultrasound performed on me for what seemed like a very long time, I was
>basically told "to live with it and take some Advil!" I have heard that
>birth control pills are the main 'remedy' but I have been on the pill
>and only started experiencing the cyst symptons while on it. (The first
>time was in February and now in June.) So my question is what does one
>do if the pill doesn't seem to work? The pain is really debilitating so
>the idea of 'just living with it' does not sound too appealing! And
>being rushed to the Emergency room only to be told to take some Advil
>just doesn't seem a very effective way of dealing with the problem I'm a
>graduate student and not well off so I don't really 'have' a
>Gynecologist: I go and wait in line at Student Health to be told the
>same thing I heard in the Emergency Room!

Catherine...

Sorry to hear that you are having so much pain.. There are some additional pieces of information necessary to help you with your problem.

Where is the pain? Does it shoot anywhere else? How severe is it? (scale 1 to 10) Can you describe the nature of the pain. Is it crampy, sharp, dull, etc? Does it come and go or is it constant? Any associated symptoms like nausea and vomiting? Has it been present for less than 72 hrs? When was your last menstrual period? Have you had any fever? Has your urine been evaluated for infection, blood, or pregnancy? If so, what are the results? Any other lab work that was done at the emergency room. What did the ultrasound show exactly. Cyst? How large? Solid componenets of the cyst? Fluid in the abdominal cavity?

You may be a candidate for diagnostic/operative laparoscopy.. This could shed some light on the cause for your pain and provide therapy to resolve this acute episode..

Please consult a gynecologist and have the above information with you..

If the acute episode is resolved, you should still have one doctor that cares for you and can make therapeutic recommendations..

Best of luck..

-- Geffrey H. Klein, MD listowner: OB-GYN-L Advisory Board Chairman, OBGYN.net < http://www.obgyn.net > Co-moderator: sci.med.obgyn gklein@bcm.tmc.edu gklein@icsi.net

*Note: Opinions expressed here are for educational purpose only. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options.

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