WOMENS-HEALTH Messages for February, 1999: Re: Thanks Dr. George--reply to your comments re:menopause, ovarian cyst, etc.

Re: Thanks Dr. George--reply to your comments re:menopause, ovarian cyst, etc.

From: Angela (anonymous@obgyn.net)
Mon, 15 Feb 1999 00:45:37 -0600 (CST)

Messages sorted by: [ date ][ thread ][ subject ][ author ]
Next message: Tisha: "Re: current miscarriage"
Previous message: Michelle: "Reply to Dr. George Re: 28 year old with no menstrual bleeding"
In reply to: Jess: "Endometriosis treatment"
Next in thread: Tisha: "Re: current miscarriage"

> Why is it a waste of money? (And whose money are you concerned about?)

>Whose money did you think I was concerned about?

sorry, I got carried away...I didn't make my age clear in the last post--I am 46 years old, so I can remember when health insurance was good for something, and now I am involved in publishing for the medical professions, so I am reminded almost daily that the wrong people usually are calling the shots. >
> ><< Is it important to know Estradiol level as well?
> >******* No. Not as far as I would be concerned, but if you got the dough and
>want it -- go for it. I would also get an erythrocyte sedimentation rate at
>the same time. That might tell you something also.

Really or are you being sarcastic? When my OB-GYN did my bloodwork form he did check off ESR. I ain't "got the dough," believe me. Editors are supposed to do what we do for the love of it.

I am getting >very old and I have trouble remembering things so please forgive me?

sure, I've been working fewer years than you and I have to write down everything out of the ordinary to keep from forgetting it >
><< ultrasound describes it as a "cyst" that is "just under three inches" and
>"looks like an endometrioma." It might be growing; on previous ultrasound
>approximately 1
> year ago, the same ovary had a cystic mass about half that size. My OBGYN
>could feel it on exam,
>****** One can almost see a 3 inch (5 cm) mass on the ovary.

Well, I can tell you it was the shortest exam I ever had from my gynecologist. He felt the cyst immediately and once he did, I got the impression he accelerated the exam to avoid doing any more palpation or manipulation than he absolutely had to. >
>>> which is why I was sent for ultrasound,
>****** Makes sense to me.
>
> Maternal grandmother had very early menopause at about 38 years
>****** there is a good possibility that you might follow the early menopause
>thing too.
>
>>> My mother's relatives were Dutch/German going back a couple of generations;
>******* Tend to have average time for menopause.
>
>>> father's parents came from Italy, much sturdier stock I think -- paternal

>grandmother lived until 92 and barely ever saw a doctor. Dad's sister (still
>alive and quite well, now about 76 years old) also had hysterectomy at mid-
>life due to problems
> with fibroids.
>******* Italian women frequently start menses earlier than other and stop
>LATER!
>

>******* It is very difficult to feel your cyst from this distance. I would
>feel much happier about a cyst that doubles in size (6 inches now)

no, no, it's not 6 in. now, it's just under 3 inches. when I had ultrasound in Feb. 98 the same ovary had a similar mass on it that was about half that size.

if the >doctor would guarantee me that it was not an ovarian cancer. The chances are
>that it is not because the ultrasound showed something that "looked" like an
>Endometrioma. I am not privy to how good your untrasonographer is or if you
>have a history and firm diagnosis of Endometriosis. Is this the reason you
>want someone to look in the crystal ball and tell you the last day of your
>last menstrual period will be?
> Maybe I can now understand since I just had a Gestalt Ah-ha as I typed
>this. I will guess that you do not to want to have a surgical menopause
>because of an ovarian cyst (exploratory surgery) but want to see if the
>"possible Endometrioma" will start to shrink because you have a waning level
>of female hormones?
>
>Agape, Dr. George

yeah, that's the right track.

My gynecologist is an extremely popular practitioner and highly respected surgeon/high-risk pregnancy and fertility specialist at a leading teaching hospital. He did a myomectomy on me about 6 years ago (went very well, but the damn things grew back, you know all about that). So now I'm 46, I have this 10-week uterus from recurrent fibroids, I have intermittently nasty irritable bowel symptoms, dyspareunia, bouts of back pain, and the impression of rectovaginal endo on exam (though I should mention that endometriosis was NOT noted in my surgical report for the myomectomy). Used to have horrible menstrual pain, too, but that has been steadily receding.

For about two years since the fibroids grew back he has been trying to convince me that TAH/BSO is the way to go. I understand his reasoning but I think his bias against the organs of "postreproductive" (as opposed to postmenopausal) females is excessive so I've resisted it. Now, though, the ovarian mass gives me something more to contend with.

Thanks for your thoughts, and obviously I'd appreciate knowing any further impressions you may have.

Next message: Tisha: "Re: current miscarriage"
Previous message: Michelle: "Reply to Dr. George Re: 28 year old with no menstrual bleeding"
In reply to: Jess: "Endometriosis treatment"
Next in thread: Tisha: "Re: current miscarriage"

Women's Insurance Checklist from Auto Insurance Quote

use when must restrict search to only the women's health forum...
Enter search keywords:
	Returns per screen: Require all keywords: