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Re: update, BCP for me don't prevent cysts, what next?
From: Ann (anonymous@obgyn.net)
Thu, 5 Nov 1998 19:41:19 -0600 (CST)
Dr. Hill, thank you so much for your reply. My doctor has discussed
giving me drugs that would shut off my ovaries. He has told me this
would, in effect, put me in menopause. We both agreed that, at this
time, the side effects would be too severe.
I agree that this cyst is way too small to cause this level of pain. My
doctor has suggested that the scar tissue from the previous cyst removal
could cause me to be more sensitive to pain in that area. The pain
level is a reason he is not ruling out appendicitis. He did offer to
send me to a general surgeon today, or admit me to the hospital for
observation. We discussed the warning signs to watch for and I decided
to go home.
Thank you again for your help.
Ann
At Thu, 5 Nov 1998, D. Ashley Hill, M.D. wrote:
>
>At Thu, 5 Nov 1998, Ann wrote:
>
>>How can you prevent ovulation (since these are functional cysts)? The
>>birth control pills are not doing it.
>
>One option is to try a GnRH agonist, such as lupron, for 3-6 months.
>This *really* shuts down the ovaries. There are significant potential
>side effects, however, so this is something to talk about with your
>doctor. By the way, it is *extremely* unusual for a 2cm cyst to cause
>pain. Think of it this way: every month women who are not on the pill
>form a 2cm to 4cm cyst called a "corpus luteum" on one of their ovaries.
>While some women can tell when they are ovulating, the overwhelming
>majority cannot. If 2cm cysts routinely caused pain, then every month
>literally millions of women would be in the ER with pelvic pain. I
>can't recall if you have posted that you have had a laparoscopic
>evaluation, but if not, it's worth considering. Endometriosis,
>adhesions, an edematous (swollen) appendix, irritable bowel syndrome,
>interstitial cystitis (a bladder condition) and trigger points ("balled
>up" nerves in the abdominal wall) can all cause pelvic pain. I hope
>everything works out well for you.
>
>>I had written during the "Male vs. Female doctor" debate that I really
>>would prefer a woman doctor and would be switching from my male,
>>wonderful doctor. I have realized that a compassionate, understanding,
>>open doctor is worth his weight in gold.
>
>Yep....another convert (just kidding). Thank you, however, for your
>comments.
>
>--
>Ashley Hill
>David Ashley Hill, M.D.
>Associate Director
>Department of Obstetrics and Gynecology
>Florida Hospital Family Practice Residency
>Orlando, FL
>http://home.mpinet.net/dahmd
>
>The above is intended for general medical education,
>and is not for specific medical advice.
>I apologize, but I am unable to answer personal e-mail
>due to time constraints.
>
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