WOMENS-HEALTH Messages for October, 1998: Re: adenomyosis at 26?

Re: adenomyosis at 26?

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Thu, 15 Oct 1998 20:04:06 -0500 (CDT)

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In reply to: Nia: "adenomyosis at 26?"

At Wed, 14 Oct 1998, Nia wrote: >
>I would just like to know how this is diagnosed. I
>had a laparoscopy done in Sept. b/c my drs. were convinced
>I had endometriosis: I've been on the pill since 1990 but for the past
>year have had increasingly painful periods, rectal pain, back and leg
>pain. I finally sought help when I was taking over 3000 mgs. of motrin
>on a bad day. Anyway,
>they said my lap was clear, no endo, but that it 'is probably
>adenomyosis'. How can they prove this definitively? I am only 26, and
>was told this usually happens in women who've already begun
>childbearing. I have no kids and have never been pregnant, never had an
>std or anything else that could be causing this. I do have 3 small
>fibroids, which my doctors are unconvinced are responsible for this much
>pain (I'm now on percocet for the really painful days). Besides the
>lap, I've had a cat scan and ultrasound; I'm scheduled for an MRI next
>week. Any advice? I'm scared of Lupron and Synarel, and am too young to
>consider a hysterectomy. I would appreciate any information.
>
>Thanks!

Adenomyosis is classically diagnosed in the pathology lab after a hysterectomy. Newer radiologic procedures, including MRI (expensive) and SIS (saline infusion sonohysterography -much less expensive) are in this category. Through discussions with Dr. Hill (my SIS mentor), I have made the diagnosis a few times sonographically.

My advice is wait for the radiologic results.

--
Harvey S. Marchbein, M.D. FACOG, FACS
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: M: "Adenocarcinoma on pap"
Previous message: Harvey S. Marchbein, M.D.: "Re: Menstruation in 14 Year old and Mayer-Rokitansky Syndrome"
In reply to: Nia: "adenomyosis at 26?"

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