WOMENS-HEALTH Messages for September, 1997: Re: What is Endometriosis and is there a cure?

Re: What is Endometriosis and is there a cure?

From: anonymous@obgyn.net
Tue, 30 Sep 1997 02:27:34 -0500 (CDT)

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At Fri, 30 May 1997, D. Ashley Hill, M.D. wrote: >
>At Thu, 29 May 1997, Maureen wrote:
>>
>><<Hysterectomy is an extremist treatment.>> Here he is again!!!!!!!!
>
>I can't speak for Dr. Cristalli, but I strongly suspect he meant
>something akin to "hysterectomy is an extreme treatment," and in my
>opinion, he's exactly right. Hysterectomy is *the* most extreme
>treatment for this condition, but, unfortunately, sometimes this is
>necessary to alleviate the pain.
>
>I'll never forget a 32 year-old patient of mine with endometriosis that
>failed every possible laparoscopic and medical treatment, including
>extended GnRH agonist therapy. She had not had intercourse with her
>husband for about a year due to severe pain from the endometriosis. She
>already had 2 kids, and after a great deal of discussion, *we* decided
>to proceed with a laparoscopic vaginal hysterectomy. She phoned me a
>few days before her 6-week post-operative appointment to tell me that
>they had "broken down" and tried to have intercourse. I asked her if it
>hurt, and she replied "well, a little bit the first time, but not at all
>the next 5"! Every gynecologist I know has a similar success story. The
>trick is to exhaust all medical and "minor" surgical therapies before
>resorting to a major operation.
>
>I suspect that what Dr. Cristalli meant (please note that he is from
>France, and while he has an outstanding command of English there are
>still sometimes subtle language differences)is that while we try to
>avoid major surgery for this condition, that sometimes it's necessary in
>order to cure this frustrating disease.
>
>Thank you,
>
>--
>Ashley Hill
>D. Ashley Hill, M.D.
>Assistant Director, Department of Ob/Gyn
>Florida Hospital Family Practice Residency
>Orlando, FL
>dahmd@gate.net
>

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