WOMENS-HEALTH Messages for August, 1999: Re: C-Section Scar Pain B4 Period

Re: C-Section Scar Pain B4 Period - Dr. McIntosh

From: William D. McIntosh, MD (anonymous@obgyn.net)
Wed, 25 Aug 1999 09:33:57 -0500 (CDT)

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In reply to: amy: "Re: C-Section Scar Pain B4 Period - Dr. McIntosh"

At Tue, 24 Aug 1999, amy wrote: >
>>It is possible to get endometriosis in a C/S scar.
>>
>>--
>>William D. McIntosh, MD, FACOG
>>Clarksville, TN
>>
>How common is it to get endo on a c/s scar? Does this happen to anyone
>w/ scar or anyone who would have endo? ie. could having a scar cause
>endo? What can be done?
>
>One other question about endometriosis - If a hysterectomy is done
>leaving the overies, what are the chances of it returning? Thank you!
>
>--
>Amy
>

Endo in a scar is very rare, but it can happen. I just saw a patient yesterday with endo in her belly button. It can happen to anyone with a scar that is exposed to endometrium, whether from endometriosis, or from a uterine proceedure such as a C/S, where the endometrium is penetrated. The treatment is scar revision, ie reopened and the abnormal tissue removed.

You are generally wasting your time if you remove the uterus, and leave the ovaries if you are trying to treat endometriosis. The ovaries are the source of the estrogen that "feeds" the endometriosis. If you leave the ovaries, the return of endometriosis is virtually certain.

-- William D. McIntosh, MD, FACOG Clarksville, TN

This is for educational purposes only. It is not intended to replace consultation and examination by your physician or other health care provider.

Next message: D.N.: "Re: Considerations for prophylactic oophorectomy?"
Previous message: Edward: "Considerations for prophylactic oophorectomy?"
In reply to: amy: "Re: C-Section Scar Pain B4 Period - Dr. McIntosh"

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