Re: adenomyosis/hysterectomy.
From: Garry E. Siegel, M.D. (anonymous@obgyn.net)
Thu, 6 Nov 1997 22:09:26 -0600 (CST)
Julie:
It sure sounds like you have had problems that you and your doctor have
approached in a stepwise, logical fashion, and ya'll have come up with
the appropriate option for you.
I assume you plan to leave your ovaries in, which is reasonable
(depending on your age and of course your wishes). If you have
recurrent pain after the hysterectomy (Heaven forbid!), you could have
the ovaries removed later, likely laparoscopically. While the thought
of another surgery isn't appealing, I would rather err on the side of
caution and leave your ovaries in, depending on your age and desire.
Good luck and let us know how it turns out.
Garry
no private emails/educational purposes only
At Wed, 5 Nov 1997, anonymous@obgyn.net wrote:
>
>Hi, my name is Julie Davis and new to the list.
>Just looking for general feedback...
>Was diag w/ endo '90 via lap; 2 normal pregnancies '93 and '95;
>recurring pain 2 weeks after baby born.. On depo provera since July '95,
>last shot June '97 with some pain relief until May of '97 when I began
>w/ the usual side endo pain and severe cramping, bloating, bleeding and
>heaviness in lower abdomen. Had lap w/ hysteroscopy Aug '97..endo found
>on ovaries, lasered off. Pictues from hysteroscopy show "spots"
>dispersed throughout uterus; like taking a paint brush and flinging
>paint drops on a wall. My doc said my uterus is markedly enlarged, soft
>and boggy. That, coupled w/ my increasing worsening symptoms; pain and
>cramps running 7 on a scale; daily bleeding severe to almost
>nonexistant, severe bloating; prompted my doc to diagnose me w/
>adenomyosis. She has stated that until pathology is done, it cannot be
>certain, but she feels that is what is going on. I have decided not to
>bother w/ an MRI as it will not change my course of treatment at this
>point.
>Lupron is not an option for me; bcp's aren't helping, and the provera
>stopped being affective. I have decided to have a hysterectomy, uterus
>and cervix only, to hopefully "cure" my adeno. I realize the possible
>endo/estrogen problem in keeping my ovaries, but will deal w/ that
>later. My endo pain is gone since my August lap; my pain and discomfort
>is all mid-abdomen, and I want to get this sick organ out of me; the
>pain has begun to consume my life.
>Just looking for thoughts on my diagnosis and treatment decisions.
>Thank you very much for your time; sorry this is so long! Julie Davis
> jules12@webtv.net
--
Garry E. Siegel, M.D., FACOG
Private Practice
Roswell, Ga.
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