WOMENS-HEALTH Messages for May, 1998: Re: adenomyosis

Re: adenomyosis

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Fri, 1 May 1998 13:09:00 -0500 (CDT)

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In reply to: Claire: "adenomyosis"

At Fri, 1 May 1998, Claire wrote: >
>First, I'd like to thank all of the doctors who donate their time to
>this forum. I've learned an incredible amount by reading their many
>messages, and become a much better informed patient!
>
>I've had pelvic pain since last November. I had laparoscopy in January,
>but no visable endometriosis was observed. After many tests with many
>doctors, my gynecologist and I decided to try a GnRH analog. It has
>really helped me. My pain is decreasing rapidly, and I am starting to
>return to a normal life (yipee!). My gynecologist interprets the
>success of the GNRH analog to mean that I have adenomyosis, even though
>my uterus appeared small and normal during laparoscopy. She thinks that
>it must be adenomyosis and not endometriosis, because she thinks that
>she would have seen at least some small indication visually during
>laparoscopy if I had endometriosis.
>
>Here are my questions:
>
>1) Is it likely that I actually have endometriosis rather than
>adenomyosis?

Impossible to say. Can be either.

>2) Is it possible to do a biopsy of the uterus to test for adenomyosis?
>I know that the only real cure for it is to remove the uterus. But, I'd
>feel more comfortable with that option if there were some way to make a
>sure diagnosis of adenomyosis ahead of time.

You can do a biopsy or do an MRI. Sonography is sometimes helpful.

>2) I am interested in trying to have a baby after I finish my 6 months
>on the GNRH analog (I'm 35). Does adenomyosis cause problems with
>conceiving or carrying a pregnancy to term?

Shouldn't.

>Any extra risk of pregnancy
>if the mother has adenomyosis?

Not that I'm aware of.

--
Harvey S. Marchbein, M.D. FACOG
OBGYN.net U.S. Representative, New York
Great Neck, New York
http://www.obgyn.net/states/bios/marchbein.htm
http://www.obgyn.net/women/advisors/harveym.htm

**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 no private emails will receive a response.

**Thank you for your understanding ;-)

Next message: Harvey S. Marchbein, M.D.: "Re: cramping after insemenations"
Previous message: DebbieOney: "Creutzfeldt-Jakob Disease and Fertility Drugs"
In reply to: Claire: "adenomyosis"

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