WOMENS-HEALTH Messages for September, 1999: Re: WOMENS-HEALTH digest 529

Re: WOMENS-HEALTH digest 529

From: Butler (anonymous@obgyn.net)
Mon, 20 Sep 1999 17:16:42 -0400

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> -----Original Message-----
> From: womens-health@obgyn.net [SMTP:womens-health@obgyn.net]
> Sent: Monday, September 20, 1999 5:27 PM
> To: Multiple recipients of list WOMENS-HEALTH
> Subject: WOMENS-HEALTH digest 529
>
> WOMENS-HEALTH Digest 529
>
> Topics covered in this issue include:
>
> 1) menstral problems and pelvic area pain
> by jodifenner@usa.net (jodi)
> 2) Re: norplant removal
> by Tatum133@aol.com (Kelly)
> 3) Re: Someone please answer this!
> by "Donna Berg" <Donna.e.berg@worldnet.att.net>
> 4) Re: Someone please answer this!
> by "Donna Berg" <Donna.e.berg@worldnet.att.net>
> 5) Question???
> by RAW_99@webtv.net (Erin)
> 6) Re: I'll be back
> by Gongal4@aol.com
> 7) Re: Question???
> by elm2249@cub.uca.edu (Erin McCarty)
> 8) Re: Someone please answer this!
> by elm2249@cub.uca.edu (Erin McCarty)
> 9) Re: norplant removal
> by vera_2509@hotmail.com (dr. Vera Sastranegara)
> 10) Re: fibroids, laser treatment
> by cdionne@usa.net
> 11) A thought on the size of the uterus (Dr. Hill, and all those
> associated w/obgyn)
> by mylogon1@hotmail.com (Elizabeth)
> 12) peri-menopause
> by cbreese@eiccd.cc.ia.us (Marie)
> 13) Re: fibroids, laser treatment
> by barb@mtbeef.org
> 14) Re: peri-menopause
> by DoctorJoe@aol.com (Joseph Pastorek, MD)
> 15) Re: pregnancy after a tubal reversal
> by DoctorJoe@aol.com (Joseph Pastorek, MD)
> 16) Re: peri-menopause
> by Gongal4@aol.com
> 17) referral for hysteroscopic surgeon - boston
> by leslie_lundahl@hms.harvard.edu (leslie)
> 18) Fertility clinics
> by zsuzsa.nagy@pharm.ox.ac.uk (Zsuzsanna Nagy)
> 19) Question for doctors about Pelvic Exam?
> by RAW_99@webtv.net (Tammy Lynn)
> 20) Question about having a hysterectomy?
> by RAW_99@webtv.net (Valerie)
> 21) Top Women's Health Issues
> by carad@interchange.ubc.ca (Cara)
> 22) Ovarian Cancer Questions
> by ginnymyn@netscape.net (Ginny)
> 23) Pregnant and Bleeding
> by cgaiter4@earthlink.net (Carla)
> 24) PCOS
> by kmouncer@hotmail.com (Karen)
> 25) Re: fibroids, laser treatment
> by sweetpea@loveable.com
> 26) Re: fibroids, laser treatment
> by barb@mtbeef.org
> 27) Re: Should I see my doctor?
> by tessler@frontiernet.net (Patti Tessler, FNP)
> 28) Re: vaginal mucus...what is it?
> by tessler@frontiernet.net (Patti Tessler, FNP)
> 29) Re: vaginal warts during pregnancy/cervical cancer
> by tessler@frontiernet.net (Patti Tessler, FNP)
> 30) What is it for???
> by RAW_99@webtv.net (Kelly)
>
> ----------------------------------------------------------------------
>
> ----------------------------------------------------------------------
> Date: Sun, 19 Sep 1999 21:22:52 -0500 (CDT)
> ----------------------------------------------------------------------
> From: jodifenner@usa.net (jodi)
> To: WOMENS-HEALTH@OBGYN.net
> Subject: menstral problems and pelvic area pain
> Message-ID: <199909200222.VAA17124@talk.obgyn.net>
>
> i have recently had 3 heavy periods in a 6 week time frame. i have had
> 2 abortions, most recently march of this year, i also have had one child
> 3 yrs ago. i have always had normal 3-4 day periods, with light flow. i
> have had pains in my pelvic region since the last abortion. i have us
> military insurance and they do not have a female obgyn in the hospital
> and they will not refer me to a female. is this something i should look
> into? i do not take any form of birth control, and sometimes have pain
> during sex. I also would like to know if it is illegal not to have a
> female obgyn for which the insurance covers the care. thank you very
> much
> jodi
>
> ------------------------------
>
> ------------------------------
> Date: Sun, 19 Sep 1999 21:33:25 -0500 (CDT)
> ------------------------------
> From: Tatum133@aol.com (Kelly)
> To: WOMENS-HEALTH@OBGYN.net
> Subject: Re: norplant removal
> Message-ID: <199909200233.VAA17515@talk.obgyn.net>
>
> At Sun, 19 Sep 1999, dr. wrote:
> >
> >At Sat, 18 Sep 1999, kate wrote:
> >>
> >>I need help finding a super qualified norplant removal physician in the
> >>San Francisco Bay Area. I also need someone who can help deal with the
> >>tremendous amount of side effects and health problems I have experienced
> >>for the last 4 yrs ever since PLanned parenthood decided that norplant
> >>was the best contraceptive to give to a totally uneducated 15 year old
> >>girl (me!).
> >
> >Dear Kate,
> >
> >You don't need a superqualified Norplant removal physician. Removing
> >Norplant is only a minor surgery, which can even be performed by a
> >midwife.
> >However, you'd better have it removed by a gynecologist, who is fully
> >qualified to evaluate your tremendous "side effects", since they are
> >probably not related to the Norplant use.
>
> I disagree with the statement that the side effects are probably not
> related to the Norplant. I had Norplant and had very severe side
> effects. My side effects were so severe that I had it taken out after
> only 9 months. That was 2 years ago and I am still having side effects.
> My body has never been the same. I also disagree that you don't need an
> experienced physician to remove the Norplant. An inexperienced
> physician may leave a bigger scar, and may cause the area to be
> extremely sensitive after the removal.
>
> --
> Kelly
>
> ------------------------------
>
> ------------------------------
> Date: Sun, 19 Sep 1999 23:04:48 -0400
> ------------------------------
> From: "Donna" <Donna.e.berg@worldnet.att.net>
> To: <womens-health@obgyn.net>
> Subject: Re: Someone please answer this!
> Message-ID: <00b801bf0315$e1210f60$d7344f0c@1knx8>
> MIME-Version: 1.0
> Content-Type: text/plain;
> charset="iso-8859-1"
> Content-Transfer-Encoding: 7bit
>

>> ----- Original Message -----
> From: Erin <elm2249@cub.uca.edu>
> To: Multiple recipients of list WOMENS-HEALTH
> <womens-health@talk.obgyn.net>
> Sent: Saturday, September 18, 1999 7:33 PM
> Subject: Someone please answer this!
>
> > Someone please answer this message, It seems that everytime I post a
> > message to this forum I get passed up for days and days before someone
> > finally decides to answer me. I'm worried! Please respond A.S.A.P!
> > Thanks!
> >
> > At Sat, 18 Sep 1999, Erin wrote:
> > >
> > >For the past 3 weeks I've been having a problem that I've never
> > >experienced before, for two weeks i was experiencing cramping and
> > >nausea, and a very uncomfortable tenderness in my uterus/cervix-area,
> > >any kind of pressure on it was painful. I thought that it was just a
> > >peculiarity with that cycle, so i didn't think much of it, but now that
> > >i've finished my period the pain has switched from a strictly uterine
> > >pain (during menstruation) back to travelling through my lower abdomen,
> > >and the tenderness is still there. I would assume that the pain never
> > >actually stopped in the other places, it was just overshadowed by
> > >menstrual cramps. I distinguish btw the two b/c i can feel the
> > >difference between the cramps, different kinds of pain. Anyway, i'm
> > >rambling... Is there any logical reason for the soreness/tenderness
> i'm
> > >experiencing during sex? It feels almost as if my uterus is bruised,
> but
> > >I don't see how it could be. I am taking ortho-tricyclen both for
> > >severe menstrual pain and birth control, but this situation is new to
> > >me. I've been worried about this aspect of my health for a little over
> > >a year now, so I would greatly appreciate any insight from doctors
> > >especially, and also anyone who has experienced this themselves. The
> > >first time I experienced the tenderness on intercourse was around the
> > >12-14 day of my cycle. Thanks for your time...
> > >
> > >Erin
> >
>
> Dear Erin:
>
> I was going to answer last night but had doubts about giving advice,
> especially when there are doctors on this forum.
> I have just now read the 7 subsequent e-mails.
>
> The pain: Are you talking about painful-cramping but you can function,
> or
> the kind of pain where you have trouble standing and walking? Do you have
> a
> fever?
>
> Donna Berg
>
> ------------------------------
>
> ------------------------------
> Date: Sun, 19 Sep 1999 23:37:38 -0500 (CDT)
> ------------------------------
> From: RAW_99@webtv.net (Erin)
> To: WOMENS-HEALTH@OBGYN.net
> Subject: Question???
> Message-ID: <199909200437.XAA23154@talk.obgyn.net>
>
> What happens if I don't empty my bladder before a pelvic exam, and I
> don't have to pee? I am a 18 year old virgin, and I was wondering why I
> should go get checked before I have sex? I am afraid that I will get
> stretched during the exam. If I have never had sex and I go get
> checked, it will hurt won't it? If it is going to hurt, then why get
> checked? My boyfriend can't even get two fingers inside of me!
>
> ------------------------------
>
> ------------------------------
> Date: Mon, 20 Sep 1999 01:50:06 EDT
> ------------------------------
> From: Gongal4@aol.com
> To: womens-health@obgyn.net
> Subject: Re: I'll be back
> Message-ID: <7b79577a.2517250e@aol.com>
> MIME-Version: 1.0
> Content-Type: text/plain; charset="us-ascii"
> Content-Transfer-Encoding: 7bit
>
> Have a blessed Yom Kippur!!!
> Take Care and Enjoy :)
>
> ------------------------------
>
> ------------------------------
> Date: Mon, 20 Sep 1999 00:56:09 -0500 (CDT)
> ------------------------------
> From: elm2249@cub.uca.edu (Erin)
> To: WOMENS-HEALTH@OBGYN.net
> Subject: Re: Question???
> Message-ID: <199909200556.AAA25415@talk.obgyn.net>
>
> Hi, my name is Erin too, and I was in the exact same place you are a
> year ago. It's a little uncomfortable, but it's not painful. If you
> tell them it's your first visit and that you're a virgin, they're *very*
> sympathetic and gentle and will avoid stretching you out in any way that
> they can. They didn't stretch me out any, and i was the same size you
> say that you are, so i think you'll be fine. I hafta tell you tho, you
> should go, I was absolutely petrified, but you not only need to be
> checked out to make sure your reproductive organs are healthy, (i.e. pap
> smear, pelvic, and breast exam) but if you are planning to become
> sexually active, you should also talk to your doctor about methods of
> birth control. I was probably more apprehensive about it than you sound
> in this message, but after you get over the initial embarassment, you'll
> realize it's the best thing for you. I'd also like to recommend that
> you go to a female doctor simply for the reason that she was in your
> shoes at one point, and she'll probably be more able to relate to your
> jitters. Good Luck!
>
> Erin McCarty
>
> At Sun, 19 Sep 1999, Erin wrote:
> >
> >What happens if I don't empty my bladder before a pelvic exam, and I
> >don't have to pee? I am a 18 year old virgin, and I was wondering why I
> >should go get checked before I have sex? I am afraid that I will get
> >stretched during the exam. If I have never had sex and I go get
> >checked, it will hurt won't it? If it is going to hurt, then why get
> >checked? My boyfriend can't even get two fingers inside of me!
>
> ------------------------------
>
> ------------------------------
> Date: Mon, 20 Sep 1999 00:58:35 -0500 (CDT)
> ------------------------------
> From: elm2249@cub.uca.edu (Erin)
> To: WOMENS-HEALTH@OBGYN.net
> Subject: Re: Someone please answer this!
> Message-ID: <199909200558.AAA25547@talk.obgyn.net>
>
> > Dear Erin:
> >
> > I was going to answer last night but had doubts about giving advice,
> >especially when there are doctors on this forum.
> >I have just now read the 7 subsequent e-mails.
> >
> > The pain: Are you talking about painful-cramping but you can function,
> or
> >the kind of pain where you have trouble standing and walking? Do you
> have a
> >fever?
> >
> >Donna Berg
>
> It's mostly sharp, shooting cramps... i can function, they're just the
> kind of pains that make you stop and gasp/wince a little... as much
> abdominal pain as i've had in the past year, they're nothing too major,
> the only thing that worries me is the timing. The pain in my uterus is
> only a problem when there's pressure put on it during sex. Then the
> pain is strictly in my uterus and feels almost like a bruise, but it's
> stronger and duller than the pain from your average bruise. Today it
> also gave me pain in my back...This baffles me, I know I need to call my
> doctor, but I'm only 19, I've only been twice, and I don't like it a bit
> so I'm wary of another pelvic. The doc wasn't too gentle last time, and
> her husband just died so i'm sure she's not in the best of spirits. ( I
> know, I'm a wimp..) Come to think of it I *might* have/have had a fever,
> there have been several days that i've had hot flashes and gotten
> extremely flushed.. my face felt so hot one evening that it almost felt
> swollen. Thanks for answering this everyone, and wish me luck with the
> doc... g'nite!
>
> Erin
>
> ------------------------------
>
> ------------------------------
> Date: Mon, 20 Sep 1999 08:14:28 -0500 (CDT)
> ------------------------------
> From: vera_2509@hotmail.com (dr.)
> To: WOMENS-HEALTH@OBGYN.net
> Subject: Re: norplant removal
> Message-ID: <199909201314.IAA00573@talk.obgyn.net>
>
> At Sun, 19 Sep 1999, Kelly wrote:
> >I disagree with the statement that the side effects are probably not
> >related to the Norplant. I had Norplant and had very severe side
> >effects. My side effects were so severe that I had it taken out after
> >only 9 months.
> Well, it seems that you misunderstood my statement here. What I meant
> by "probably" is : there's still a tiny possibility that Kate's symptoms
> are not related to the Norplant's use. That's why she should go to a
> gynecologist (instead of a midwife).
>
> >I also disagree that you don't need an
> >experienced physician to remove the Norplant. An inexperienced
> >physician may leave a bigger scar, and may cause the area to be
> >extremely sensitive after the removal.
> Yes, you're right. An inexperienced physician may leave a bigger scar
> than an experienced midwife may. But I was trying to say that unlike
> laparoscopic surgery, you don't need a physician who is
> super-specialized in Norplant removal. What you need here is a
> physician / midwife who had done lots of Norplant removal, not just a
> board-certified physician. However, I suggested Kate to have it removed
> by a gynecologist (of course the experienced one) for the reason I
> mentioned earlier.
>
> ------------------------------
>
> ------------------------------
> Date: Mon, 20 Sep 1999 09:17:41 -0500 (CDT)
> ------------------------------
> From: cdionne@usa.net
> To: WOMENS-HEALTH@OBGYN.net
> Subject: Re: fibroids, laser treatment
> Message-ID: <199909201417.JAA03094@talk.obgyn.net>
>
> >At Thu, 16 Sep 1999, kathy wrote:
> >>I'm 31 and have fibroids for a long time.
> >>I've been told a myomectomy is now the only way to go and in my case
> >>there is a high risk of hysterectomy.
>
> At Fri, 17 Sep 1999, Harvey S. Marchbein, M.D. wrote:
> >Be that as it may, if these fibroids are growing a dn are both submucus
> >and intramural AND uterine artery embolization has failed, I'm sorry to
> >say, that with your increasing symptoms, removal of the uterus is the
> >only way out. If not, wouldn't this help you get on with
> >your life comfortably?
>
> This woman is only 31 years old and doesn't even mention whether or not
> she has ever had children or desires a future pregnancy. Clearly, she
> is seeking an alternative to hysterectomy to, quite possibly, preserve
> her fertility. I find your response incredible. Get on with your life
> comfortably? With a hyst at age 31? I'm sure glad you're not MY doctor!
>
> ------------------------------
>
> ------------------------------
> Date: Mon, 20 Sep 1999 09:56:09 -0500 (CDT)
> ------------------------------
> From: mylogon1@hotmail.com (Elizabeth)
> To: WOMENS-HEALTH@OBGYN.net
> Subject: A thought on the size of the uterus (Dr. Hill, and all those
> associated w/obgyn)
> Message-ID: <199909201456.JAA04666@talk.obgyn.net>
>
> After a bit of research on the alternatives available for uterine
> prolapse (and others) it seems that a hysterectomy is the procedure that
> doctors most recommend. I'm just curious - if a normal size uterus
> (after single/multiple births) is about the size and weight of a candy
> bar, may I inquire as to why it's so difficult to resuspend and anchor?
> I would really appreciate your thoughts on this as I'm still researching
> all possible options.
>
> Thanks again so much,
> Elizabeth
>
> (Yom Kippur Dr. Marchbein)
>
> --
> Elizabeth
>
> ------------------------------
>
> ------------------------------
> Date: Mon, 20 Sep 1999 09:58:44 -0500 (CDT)
> ------------------------------
> From: cbreese@eiccd.cc.ia.us (Marie)
> To: WOMENS-HEALTH@OBGYN.net
> Subject: peri-menopause
> Message-ID: <199909201458.JAA04870@talk.obgyn.net>
>
> Could you tell me exactly what peri-menopause is? How do you know when
> your body is shifting from PMS to peri-menopause?
>
> --
> Marie
>
> ------------------------------
>
> ------------------------------
> Date: Mon, 20 Sep 1999 09:03:26 -0600
> ------------------------------
> From: barb@mtbeef.org
> To: womens-health@obgyn.net
> Subject: Re: fibroids, laser treatment
> Message-ID: <199909201458.IAA27966@lewis.mt.net>
> MIME-Version: 1.0
> Content-type: text/enriched; charset=US-ASCII
> Content-transfer-encoding: 7BIT
>
> <color><param>0100,0100,0100</param><FontFamily><param>Times New Roman MT
> Extra
> Bold</param><smaller><smaller><smaller><smaller><smaller><smaller><smaller
> ><smaller><smaller><smaller><smaller><smaller><smaller><smaller><smaller><
> smaller><smaller><smaller><smaller>On 20 Sep 99, at 9:18, cdionne@usa.net
> wrote:
>
> <color><param>7F00,0000,0000</param>> >At Thu, 16 Sep 1999, kathy smith
> wrote:
>
> > >>I'm 31 and have fibroids for a long time.
>
> > >>I've been told a myomectomy is now the only way to go and in my case
>
> > >>there is a high risk of hysterectomy.
>
> >
>
> > At Fri, 17 Sep 1999, Harvey S. Marchbein, M.D. wrote:
>
> > >Be that as it may, if these fibroids are growing a dn are both submucus
>
> > >and intramural AND uterine artery embolization has failed, I'm sorry to
>
> > >say, that with your increasing symptoms, removal of the uterus is the
>
> > >only way out. If not, wouldn't this help you get on with
>
> > >your life comfortably?
>
> >
>
> > This woman is only 31 years old and doesn't even mention whether or not
>
> > she has ever had children or desires a future pregnancy. Clearly, she
>
> > is seeking an alternative to hysterectomy to, quite possibly, preserve
>
> > her fertility. I find your response incredible. Get on with your life
>
> > comfortably? With a hyst at age 31? I'm sure glad you're not MY doctor!
>
> >
>
> </color>I feel that Dr. <color><param>0000,0000,0000</param>Marchbein had
> a valid reply. I have suffered with chronic pain since I was
>
> </color><FontFamily><param>Times New Roman</param>16, am now 31 years old
> and still suffering. A lot of doctors never consider the patients quality
> of life
>
> when they absolutely refuse to do a hyst. because of age; it is an issue
> that should be considered when
>
> faced with chronic pain and the only way out being a hyst. I found Dr.
> Marchbein's reply refreshing.
>
> <FontFamily><param>Times New Roman MT Extra Bold</param>Good luck
> Kathy!<FontFamily><param>Chiller</param><bigger><bigger><bigger><bigger><b
> igger><bigger><bigger><bigger><bigger><bigger><bigger><bigger><bigger><big
> ger><bigger><bigger><bigger><bigger><bigger>
>
> <nofill>
>
> ------------------------------
>
> ------------------------------
> Date: Mon, 20 Sep 1999 11:19:46 -0500 (CDT)
> ------------------------------
> From: DoctorJoe@aol.com (Joseph Pastorek, MD)
> To: WOMENS-HEALTH@OBGYN.net
> Subject: Re: peri-menopause
> Message-ID: <199909201619.LAA07354@talk.obgyn.net>
>
> At Mon, 20 Sep 1999, Marie wrote:
> >
> >Could you tell me exactly what peri-menopause is? How do you know when
> >your body is shifting from PMS to peri-menopause?
> >
> >--
> >Marie
> >
> Marie,
>
> That's a good question. My impression is that, in a sense,
> peri-menopause acts like major PMS. But physiologically speaking,
> perimenopause means just that, "around" menopause. While menopause
> means cessation of menses (arbitrarily defined as for over 6 months),
> perimenopause is sort of leading up to that... your periods get either
> farther apart, or sometimes closer together, and your PMS may get really
> bad. You might also have menopausal symptoms (dry skin, hot flushes,
> etc) even though you still have periods.
>
> So you sort of take your best shot and try to tell what's different from
> what you normally experienced, say 2 or 3 years ago. If it fits all of
> the above (and you're "getting up in age"... over 45?), then you might
> be in "perimenopause."
>
> Dr. Joe
>
> P.S. It'd be nice to get some feedback from the other docs and WOMEN
> around here.
>
> --
> *************************************************
> doctorjoe@aol.com
> "All things are

> connected.
> Joseph Pastorek, MD Some things are just more
> 4816 Wade Drive connected than others."
> Metairie, LA 70003-2716 - Dirk Gently
> U.S.A.
>
> FAX (504) 885-8206
>
> co-editor: Medscape Women's Health
> http://www.medscape.com
> Louisiana state representative: OBGYN.net
> http://www.obgyn.net
>
> see http://www.obgyn.net/states/bios/pastorek.htm
> *************************************************
>
> ------------------------------

>
> Date: Mon, 20 Sep 1999 11:23:32 -0500 (CDT)
> From: DoctorJoe@aol.com (Joseph Pastorek, MD)
> To: WOMENS-HEALTH@OBGYN.net
> Subject: Re: pregnancy after a tubal reversal
> Message-ID: <199909201623.LAA07549@talk.obgyn.net>
>
> At Sun, 19 Sep 1999, THERESA wrote:
> >
> >I had a tubal reversal done in 1996,it took me almost two years to
> >become pregnant. Since that time I have had several miscarriages. I am
> >now pregnant again, about 4 weeks or so..The other pregnancies all ended
> >exactly ten days from the day i was supposed to start my period, I have
> >been to an infertility specialist and he has done every test that can
> >possibly be done, he found nothing wrong with me or my husband.Is it
> >true that some people "just miscarry all their babies" after a tubal
> >reversal? What do you think my chances of carrying this one is? I want
> >to be excited but I am scared to be....if that makes sense.please
> >help....
> >Theresa
>
> Dear Theresa:
>
> I've never heard of that "syndrome" before. Of course, your doctor
> knows better, since he's THERE, but my first question is, have they
> considered a luteal phase defect? Have they given any thought to
> treating you with progesterone? Just my 2 cents, not having any more
> information.
>
> Good luck,
>
> Dr. Joe
>
> --
> *************************************************
> doctorjoe@aol.com
> "All things are

>
> Date: Mon, 20 Sep 1999 12:29:30 EDT
> From: Gongal4@aol.com
> To: womens-health@obgyn.net
> Subject: Re: peri-menopause
> Message-ID: <89d02330.2517baea@aol.com>
> MIME-Version: 1.0
> Content-Type: text/plain; charset="us-ascii"
> Content-Transfer-Encoding: 7bit
>
> Great answer Dr. Joe... :)
>
> ------------------------------
>
> ------------------------------
> Date: Mon, 20 Sep 1999 12:33:13 -0500 (CDT)
> ------------------------------
> From: leslie_lundahl@hms.harvard.edu (leslie)
> To: WOMENS-HEALTH@OBGYN.net
> Subject: referral for hysteroscopic surgeon - boston
> Message-ID: <199909201733.MAA10213@talk.obgyn.net>
>
> Hello...Drs. Marchbein and Bradley have encouraged me to obtain a
> second opinion with regard to who should perform the resection of my
> uterine septum. I don't know if you do this, but I am wondering if they
> or anyone else can recommend any well-regarded surgeons to perform this
> procedure. I am in boston.
>
> Thank you so much for all of your help. The advice I have received on
> this forum has been timely, valuable, and reassuring at rough spots.
> Thank you!!
>
> leslie
>
> ------------------------------
>
> ------------------------------
> Date: Mon, 20 Sep 1999 13:01:37 -0500 (CDT)
> ------------------------------
> From: zsuzsa.nagy@pharm.ox.ac.uk (Zsuzsanna)
> To: WOMENS-HEALTH@OBGYN.net
> Subject: Fertility clinics
> Message-ID: <199909201801.NAA11063@talk.obgyn.net>
>
> Are there any fertility clinics in or around Oxford? How do I go about
> having an investigation?
>
> ------------------------------
>
> ------------------------------
> Date: Mon, 20 Sep 1999 13:46:26 -0500 (CDT)
> ------------------------------
> From: RAW_99@webtv.net (Tammy)
> To: WOMENS-HEALTH@OBGYN.net
> Subject: Question for doctors about Pelvic Exam?
> Message-ID: <199909201846.NAA13892@talk.obgyn.net>
>
> I am a 18 year old virgin. When I get a pelvic exam, do you HAVE to put
> your fingers in me? My boyfriend can't even put two fingers in me! How
> do I expect you to? Can't an Ultrasound be done to find out the exact
> same things? By the way, is it true that when you get a Pelvic Exam the
> person who checks you, kind of plays with your clitoris to see if you
> can get sexually aroused?
>
> ------------------------------
>
> ------------------------------
> Date: Mon, 20 Sep 1999 13:51:54 -0500 (CDT)
> ------------------------------
> From: RAW_99@webtv.net (Valerie)
> To: WOMENS-HEALTH@OBGYN.net
> Subject: Question about having a hysterectomy?
> Message-ID: <199909201851.NAA14250@talk.obgyn.net>
>
> Why do doctors make it such a big deal about it? Why is it their last
> choice? If a woman wants a hysterectomy at any time, why won't doctors
> do it? It's not there stuff, is it?
>
> ------------------------------
>
> ------------------------------
> Date: Mon, 20 Sep 1999 13:53:09 -0500 (CDT)
> ------------------------------
> From: carad@interchange.ubc.ca (Cara)
> To: WOMENS-HEALTH@OBGYN.net
> Subject: Top Women's Health Issues
> Message-ID: <199909201853.NAA14315@talk.obgyn.net>
>
> Hi. I'm a fourth year Pharmacy student from UBC and I am supposed to do
> a research paper on "Women's Health". This is quite a broad topic and I
> was wondering if there is anywhere I could find a list of the top
> women's health issues so I could narrow down my search. I was also
> wondering about funding for research into women's health. If anyone can
> help me please send me an email at carad@interchange.ubc.ca.
> Thanks a lot for your help,
> Cara
>
> ------------------------------
>
> ------------------------------
> Date: Mon, 20 Sep 1999 14:36:02 -0500 (CDT)
> ------------------------------
> From: ginnymyn@netscape.net (Ginny)
> To: WOMENS-HEALTH@OBGYN.net
> Subject: Ovarian Cancer Questions
> Message-ID: <199909201936.OAA16340@talk.obgyn.net>
>
> I have been reading and hearing a lot about ovarian cancer lately. I
> have a friend who was just diagnosed. I am very worried because I have
> similar symptoms to what I've heard can be indicative of OC.
>
> Please clear up some questions for me:
>
> If someone is having bloating, indigestion, nausea, bowel changes, and
> diffuse abdominal pain (some of the symptoms of OC) why would it NOT
> show up on a pelvic exam or pelvic ultra sound?
>
> If fatigue and back and leg pain are also major symptoms, and OC was the
> cause, would that indicate the disease was already widespread?
>
> I have been to my GP twice and GYN and had ultra sound, blood tests,
> etc. but nothing shows up except small fibroid. I am now being
> referred to a GI specialist. I am very confused because I feel like my
> symptoms are more related to OC than intestinal problems. But wouldn't
> it have shown on the ultra sound?
>
> What different kinds of OC are there and what are the symptoms of each?
>
> I think people need to be made more aware of this disease because it is
> so hard to diagnose. I don't want to scare anyone unnecessarily but if
> you read some of the postings in the discuss-it topic on the NOCC
> website (http://www.ovarian.org), you will see how many women were misdiagnosed
> with bowel problems, etc, when it turned out to be cancer.
>
> I am very concerned and just wondered if I can get a little info from a
> doctor instead of just from lay-people on that website. (My doctor said
> not to be concerned as it does not run in my family! Seems like an awful
> lot of women have OC and it's not in their families either.) Thanks for
> the help.
>
> ------------------------------
>
> ------------------------------
> Date: Mon, 20 Sep 1999 14:40:19 -0500 (CDT)
> ------------------------------
> From: cgaiter4@earthlink.net (Carla)
> To: WOMENS-HEALTH@OBGYN.net
> Subject: Pregnant and Bleeding
> Message-ID: <199909201940.OAA16557@talk.obgyn.net>
>
> I am 8 weeks pregnant and I started bleeding a few days ago. At first
> it started really light and now it looks like it's turning into my
> period. It is still not as heavy as my normal period. What could be
> wrong? Is this normal?
>
> --
> Carla Gaiter
>
> ------------------------------
>
> ------------------------------
> Date: Mon, 20 Sep 1999 14:51:44 -0500 (CDT)
> ------------------------------
> From: kmouncer@hotmail.com (Karen)
> To: WOMENS-HEALTH@OBGYN.net
> Subject: PCOS
> Message-ID: <199909201951.OAA17036@talk.obgyn.net>
>
> I was diagnosed as suffering from PCOS when I was twenty years old. This
> was after years of irregular diagnosed. The consultant I saw said there
> was nothing they could do if you had this condition. However, over the
> last year I have excessively increased in weight and there has been an
> noticeable increase in body hair, which is not normal for me. I am
> aware that in the USA, they are prescribling medication for this. My
> periods seem to be regulating very well, but they have now gone back to
> what they were used to be like. For example, one occuring every year.
>
> Over these periods I have suffered with spells of extreme tiredness. I
> addition, I suffer from migraines, which also have increased not only in
> the intensity, but also the causations. Have you any information or
> advice on the treatment of PCOS.
>
> ------------------------------
>
> ------------------------------
> Date: Mon, 20 Sep 1999 15:07:22 -0500 (CDT)
> ------------------------------
> From: sweetpea@loveable.com
> To: WOMENS-HEALTH@OBGYN.net
> Subject: Re: fibroids, laser treatment
> Message-ID: <199909202007.PAA17833@talk.obgyn.net>
>
> >I feel that Dr. Marchbein had a valid reply. I have >suffered with
> chronic pain since I was
> >16, am now 31 years old and still suffering. A lot of >doctors never
> consider the patients quality of life
> >when they absolutely refuse to do a hyst. because of age; >it is an issue
> that should be considered when
> >faced with chronic pain and the only way out being a >hyst. I found Dr.
> Marchbein's reply refreshing.
>
> Chronic pain (possibly from endo? or some other condition?) is NOT the
> same thing as fibroids.
>
> Dr. Marchbein didn't even know what a mirena coil is or does
> (intrauterine system of progesterone dosaging) and jumped to the
> conclusion that she had an IUD and wasn't interested in having any
> children. He didn't bother to ask whether her embolization was with
> gelfoam or PVA or what the cause of "failure" was -- if it was done with
> gelfoam it may have been done to preserve fertility but to buy time with
> some shrinkage of the fibroids -- who knows? Also, if it was done with
> gelfoam it can be repeated -- depending on what the cause of the
> previous failure was.
>
> Appropriate questions weren't asked before the rather blithe suggestion
> of a hysterectomy to "get on with her life" was proffered.
>
> Not refreshing in the least, as far as I'm concerned. A bit cavalier.
> Also, with the high morbidity rates of hysterectomy, what's the
> possibility of this woman trading in one set of problems for another
> with a hysterectomy? At the very young age of 31, no less.
>
> Deep sigh. Perhaps Kathy can shed more light on her situation with more
> details about her fibroids, her use of mirena, whether or not she has
> children or desires future fertility, and her previous embolization?
>
> ------------------------------
>
> ------------------------------
> Date: Mon, 20 Sep 1999 14:58:15 -0600
> ------------------------------
> From: barb@mtbeef.org
> To: womens-health@obgyn.net
> Subject: Re: fibroids, laser treatment
> Message-ID: <199909202053.OAA21252@lewis.mt.net>
> MIME-Version: 1.0
> Content-type: text/enriched; charset=US-ASCII
> Content-transfer-encoding: 7BIT
>
> On 20 Sep 99, at 15:08, anonymous@obgyn.net wrote:
>
> <color><param>7F00,0000,0000</param><FontFamily><param>Chiller</param><big
> ger><bigger><bigger><bigger><bigger><bigger><bigger><bigger><bigger><bigge
> r><bigger><bigger><bigger><bigger><bigger><bigger><bigger><bigger>>
> <FontFamily><param>Times New Roman MT Extra
> Bold</param><smaller><smaller><smaller><smaller><smaller><smaller><smaller
> ><smaller><smaller><smaller><smaller><smaller><smaller><smaller><smaller><
> smaller><smaller><smaller><smaller>>I feel that Dr. Marchbein had a valid
> reply. I have >suffered wi
> > >16, am now 31 years old and still suffering. A lot of >doctors never
> consider the patients quality of life
>
> > >when they absolutely refuse to do a hyst. because of age; >it is an
> issue that should be considered when
>
> > >faced with chronic pain and the only way out being a >hyst. I found
> Dr. Marchbein's reply refreshing.
>
> >
>
> > Chronic pain (possibly from endo? or some other condition?) is NOT the
>
> > same thing as fibroids.
>
> >
>
> > Dr. Marchbein didn't even know what a mirena coil is or does
>
> > (intrauterine system of progesterone dosaging) and jumped to the
>
> > conclusion that she had an IUD and wasn't interested in having any
>
> > children. He didn't bother to ask whether her embolization was with
>
> > gelfoam or PVA or what the cause of "failure" was -- if it was done with
>
> > gelfoam it may have been done to preserve fertility but to buy time with
>
> > some shrinkage of the fibroids -- who knows? Also, if it was done with
>
> > gelfoam it can be repeated -- depending on what the cause of the
>
> > previous failure was.
>
> >
>
> > Appropriate questions weren't asked before the rather blithe suggestion
>
> > of a hysterectomy to "get on with her life" was proffered.
>
> >
>
> > Not refreshing in the least, as far as I'm concerned. A bit cavalier.
>
> > Also, with the high morbidity rates of hysterectomy, what's the
>
> > possibility of this woman trading in one set of problems for another
>
> > with a hysterectomy? At the very young age of 31, no less.
>
> >
>
> > Deep sigh. Perhaps Kathy can shed more light on her situation with more
>
> > details about her fibroids, her use of mirena, whether or not she has
>
> > children or desires future fertility, and her previous embolization?
>
> >
>
> </color>This forum should never replace a visit to the doctor's office!
> Let's not forget that
>
> these volunteer doctors are answering questions with little information.
> I was merely
>
> giving a personal opinion -- not intended to get anyone riled up or to be
> construed as
>
> expertise on the
> subject.<FontFamily><param>Chiller</param><bigger><bigger><bigger><bigger>
> <bigger><bigger><bigger><bigger><bigger><bigger><bigger><bigger><bigger><b
> igger><bigger><bigger><bigger><bigger><bigger>
>
> <nofill>
>
> ------------------------------
>
> ------------------------------
> Date: Mon, 20 Sep 1999 16:02:39 -0500 (CDT)
> ------------------------------
> From: tessler@frontiernet.net (Patti Tessler, FNP)
> To: WOMENS-HEALTH@OBGYN.net
> Subject: Re: Should I see my doctor?
> Message-ID: <199909202102.QAA20517@talk.obgyn.net>
>
> At Thu, 16 Sep 1999, Jessica wrote:
> >
> >Last night I went on a date with a guy I knew in high school. To make a
> >long story short, he ended up having too much to drink and started
> >kissing me and caressing me. I knew I didn't want to have intercourse
> >with him and told him this before things got too heavy. He went down my
> >pants and was very rough with me. Finally, I was getting upset because
> >he wouldn't stop and I took him home. <snip>
>
> Dear Jessica,
>
> I'm sorry to hear of your lousy night. To the other helpful responses,
> I would also add that you might want to talk with someone at the local
> rape crisis line. Some folks think those people only talk to women who
> have just been raped and are heading to the hospital. In fact, the
> hotlines talk with people of all ages, both genders, and with unwanted
> sexual assaults of various kinds that might have happened last night or
> forty years ago. Please take advantage of this service if you'd like to
> talk about what happened.
>
> --
> Patti Tessler, BSN, MSN, RN, CS
> Family Nurse Practitioner
>
> ------------------------------
>
> ------------------------------
> Date: Mon, 20 Sep 1999 16:08:35 -0500 (CDT)
> ------------------------------
> From: tessler@frontiernet.net (Patti Tessler, FNP)
> To: WOMENS-HEALTH@OBGYN.net
> Subject: Re: vaginal mucus...what is it?
> Message-ID: <199909202108.QAA21278@talk.obgyn.net>
>
> At Fri, 17 Sep 1999, roz wrote:
> >
> >This morning while I was taking a shower I was douching and when I
> >pulled the nozzle out there was a thick mucus on the end of it...I don't
> >have discharge and I have been with the same man for 4 years....what
> >could this be?
> >Is this normal? a year ago...I had an a-typical papsmear and went back
> >again 4 months later and things were normal on that pap...I am so
> >worried about this...is this normal?
>
> You already got a good answer on the discharge from Dr. Marchbein, but
> I wanted to comment on douching. Douching is normally not medically
> necessary. Unless your health care provider recommends it, there's no
> point in douching. In fact, it can cause more problems than it solves.
> At least one vaginal infection/imbalance occurs more often in women who
> douche than women who don't douche. Douching is also statistically
> associated with a myriad of other women's health problems. I think you
> would be hard pressed to find a female gynecologist or women's health
> professional who douched. So please reconsider! The vagina is a
> self-cleaning organ.
>
> Stepping off my douching soapbox, I am...
>
> --
> Patti Tessler, BSN, MSN, RN, CS
> Family Nurse Practitioner
>
> ------------------------------
>
> ------------------------------
> Date: Mon, 20 Sep 1999 16:15:21 -0500 (CDT)
> ------------------------------
> From: tessler@frontiernet.net (Patti Tessler, FNP)
> To: WOMENS-HEALTH@OBGYN.net
> Subject: Re: vaginal warts during pregnancy/cervical cancer
> Message-ID: <199909202115.QAA21975@talk.obgyn.net>
>
> At Fri, 17 Sep 1999, renee wrote:
> >
> >I need any info about hte effects on the fetus from the worts both
> >during pregnancy and vaginaldelivery... and cervical cancer are warts a
> >factor in the cacer? please help
>
> Those are great questions about HPV and genital warts, and ones that
> many women have after being diagnosed. I highly recommend the
> information available at http://www.ashastd.org/hpv/hpv.html. Please
> write again if you have further questions after checking out AHSA's web
> page on HPV and warts.
>
> --
> Patti Tessler, BSN, MSN, RN, CS
> Family Nurse Practitioner
>
> ------------------------------
>
> ------------------------------
> Date: Mon, 20 Sep 1999 16:18:40 -0500 (CDT)
> ------------------------------
> From: RAW_99@webtv.net (Kelly)
> To: WOMENS-HEALTH@OBGYN.net
> Subject: What is it for???
> Message-ID: <199909202118.QAA22418@talk.obgyn.net>
>
> My friend was telling me about when she went to get a Pelvic Exam, there
> was a bowl or some kind of container down there where they were being
> examined at. What is it there for? Why is it used? Do I have to use it
> some how? Can I refuse it?
>
> ------------------------------
>
> ------------------------------
> End of WOMENS-HEALTH Digest 529
> ------------------------------
> *******************************

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