Re: Lower Pelvic Pain
From: anonymous@obgyn.net
Tue, 22 Jul 1997 07:01:21 -0600
Update:
I went to the Dr. and she ruled out endometriosis and any reoccurring
infection. She thinks that it is most likely an ovarian cyst or
adhesions. She told me to let her know if the pain increases in the
next couple of months and if so, they would have to do a Laproscopy.
Well, yesterday afternoon, I took a home pregnancy test and it was
positive. I have called my doctor's office and told them and I am going
in for a HCG test today. The nurse said that they would not repeat the
test every two days like I originally thought they would because of my
ectopic pregnancy in January. She said they only do that if there is
spotting or pain. Well, starting yesterday I have had the same pain on
my right side about two inches to the right of my belly button and maybe
one inch down. It is a constant pain and it feels the same as it has
for the last 3 months. Is this location too high for my ovaries? The
question that I have is should I be worrying? Could this be a sign of
another ectopic? I'm only 4 weeks pregnant so I don't know if any
symptoms would show up this soon. If the pain is associated with
adhesions/cyst will it go away? When should I worry? The last time I
was pregnant I was cramping a lot and I haven't this time so I'm hoping
that everything is okay? Anyway, as you can tell, I'm a little nervous
so any advice/direction would be greatly appreciated.
Also, is it normal to feel like you are going to start your cycle
(aching) when you are first pregnant?
Thanks for your help.
>-----Original Message-----
>From: anonymous@obgyn.net [SMTP:anonymous@obgyn.net
>Sent: Monday, July 07, 1997 5:55 AM
>To: Multiple recipients of list
>Subject: Re: Lower Pelvic Pain
>
>At Sun, 6 Jul 1997, April wrote:
>>
>>I recently had an ectopic pregnancy in January of 1997. >I have been
>>having lower abdominal pain on my right side >that has increased each month.
>> My symptoms are: pain next >to my pelvic bone on the right side,
>>tenderness, fatigue, >most pain during ovulation,(the pain stops during my
>>>cycle)(snip). I had salpingo oophoritis in '93 which I'm >sure contributed
>>to the ectopic.
>
>April-
>
>The pelvic pain you describe is unfortunately both common and
>frustrating. You report many possible causes, including scar tissue
>(adhesions) from a prior ectopic pregnancy, and prior pelvic
>inflammatory disease (salpingitis). Either of these may lead to
>adhesions. In addition, your symptoms are consistent with possible
>endometriosis. The only sure way to diagnose the cause of the pain is
>to perform laparoscopy ("belly button surgery") to visualize the pelvic
>organs. Of course, this is the most aggressive situation and not all
>patients with pain will need this.
>
>Other options include antibiotics for outpatient treatment of *possible*
>recurrent PID, nonsteroidal meds in the same class as ibuprofen, and
>becoming pregnant, which quite often alleviates this type of pain. I
>would advise similar patients in my practice to obtain an HSG
>(hysterosalpingogram) to evaluate the fallopian tubes since you have a
>number of reasons for them to be abnormal. If normal, then there is an
>excellent chance of becoming pregnant. If not, then surgery to "fix"
>them, or in-vitro fertilization may be options. Obviously, this needs
>to be discussed between you and your doctor.
>
>Good luck with everything. Pelvic pain can be very tiring and
>frustrating, but with the appropriate evaluation it is usually possible
>to determine the cause and offer effective treatment.
>
>--
>Ashley Hill
>D. Ashley Hill, M.D.
>Associate Director
>Department of Obstetrics and Gynecology
>Florida Hospital Family Practice Residency
>Orlando, FL
>dahmd@gate.net
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