WOMENS-HEALTH Messages for January, 1999: Re: Adenomyosis

Re: Adenomyosis

From: anonymous@obgyn.net
Thu, 14 Jan 1999 11:50:28 EST

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Sue: Yes, hysterectomy with or without oophorectomy (removing ovaries) is the treatment of choice for Adenomyosis. ============================= How does this affect Perimenopause woman? It the ovaries are removed menopause will occur. Ask you doctor, if the ovaries are takes, to start you on Premarin (NOT Generic) in the first few days of the post operative time.

If the ovaries are left in place the effect of the surgery should all be positive.

REMEMBER THAT IN MEDICINE AS IN LIFE -- NOTHING IS 100%

============================

ADENOMYOSIS IS DIAGNOSED pre operatively IN ONLY 15% of cases. The final diagnosis is made by the pathologist who examines the 'specimen.'

Symptom (and signs) of ADENOMYOSIS can help -- usually the woman is in her 40-50 age range.

--60% have abnormal uterine bleeding. --50% have HEAVY bleeding. --25% have IRREGULAR spotting / bleeding. --25% have painful menses (Remember that 'bleeding' and 'menses' are NOT the same thing.

D&C = no value in diagnosis. Ultrasound of the pelvis may be suggestive but NOT diagnostic. MRI = Not proven one way or the other. Complaint of "Low mid back (over the sacrum) aching or pain and a 'falling out feeling' are also suggestive of this diagnosis.

You Doctor can get some idea of the diagnosis if many of these criteria are met, and your uterus is 'larger than normal AND boggy to palpation.

Hormone treatments frequently make it worse.

GnRH agonists (ask you doc) nay give temporary relief, but It will return.

=======================

Yes, hysterectomy (can do vaginally or abdominally or Lapscope).

Good luck, L.

============================================= *Note: Opinions expressed here are for educational purposes only. This information is not intended to supplant the need for you to consult your physician prior to choosing or planning therapeutic options and/or interventions.

**Private emails cannot be answered.

**Thank you.

Next message: Kristy: "Low dose bcp and iron deficiency"
Previous message: Mary: "Re: PCOS and Pregnancy/Please help!"
Maybe in reply to: Susan: "Adenomyosis"
Next in thread: anonymous@obgyn.net: "Re: Adenomyosis"

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