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Re: AdnomyosisFrom: R.Daniel (anonymous@obgyn.net)Tue, 26 May 1998 20:16:35 -0500 (CDT)
At Tue, 26 May 1998, james Connerth md wrote: > >At Tue, 26 May 1998, Kristie wrote: >> >>I have just been diagnosed with Adnomyosis. I had a laporoscopy done on >>5/22/98. I have a follow up appt. with my doctor next week but I just >>want a second opinion. I am 25, unmarried, no children but would like > >Adenomyosis very common in women after childbearing--unusual >in young lady without pregnancies.Represents growth of uterine lining >into muscular wall of uterus and since very >common,main symptom is nothing.Can cause irregular bleeding, >and cramping with periods.Usually causes enlargement and >softening of uterus.Should not cause continuous,noncyclic, >pelvic pain.Difficult to make diagnosis on laparoscopy,unless biopsy >done of uterus.Fibroids can look >like adenomyosis with uterine enlargement.The best test >would be MRI of uterus looking for this problem. > >-- >j.connerth md > I concur that you should get a second opinion prior to agreeing to any kind of treatment for your condition. By that, I mean that you should seek out another Board certified OB-GYN who has no association with the first one and see her/him in person. Since you have no children and are looking to have them, I would recommend that you seek out a Reproductive Endocrinologist. How do you find one? Call the OBGYN Dept. at your nearest Medical School and ask to speak to the "Chief" Resident. Explain that you need to see a Reproductive Endocrinologist and ask the Chief Resident who he or she would recommend for themself or their wife. Obtain from your first OB-GYN a copy of all your medical records and a copy of the operative report from the laparoscopy to take along with you. By talking to you directly and actually examining you, this second physician will be able to make a better diagnosis than anyone of us over the internet. For what it is worth, one little clinical test that can be used when one suspects adenomyosis is to put the patient on oral contraceptives. This will usually make the pain worse with adenomyosis. I also concur that I am unaware of any good way to make the diagnosis of adenomyosis by looking through the laparoscope. One would have to biopsy the uterus to make the diagnosis. Some people have reported being able to make the diagnosis by ultrasound. MRI while accepted by most as being able to diagnose adenomyosis is extremely expensive.
-- R.Daniel Braun, MD
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