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right ovarian pain still . . .From: anonymous@obgyn.netThu, 2 Dec 1999 22:16:27 EST
Dr. M: Okay, it's now ending the 9th day of this incredible right ovarian pain, which now has nausea and some bowel changes to go along with it, along with increased urination (large amounts though, and clear), of course the low grade remains as ever. On Monday, when I went to the on-call doc, and the ultrasound and pelvic exam revealed that the right ovary was now enlarged and the 18mm cyst, remember she thought that maybe I could be ovulating, hence the enlarged ovary and cyst, although the cyst was present on ultrasound prior to surgery several weeks ago for removal of the very large cystadenoma and left ovary. It was 9mm at that time, according to u/s report. New symptoms - pain is very much worse with any walking, to the point of feeling like I am going to pass out. Seems the only thing that makes it tolerable is laying around doing absolutely nothing, with right leg stretched out (for bending it or walking just increases the pain and pressure in the ovary - must be due to where the cyst is situated at or just from how large the ovary is????), and taking prescription pain meds - varying between the Motrin/Darvocet and Motrin/Percocet, the latter seeming a bit extreme for "ovulation" pain, wouldn't you think? Too, I had ovulated immediately before surgery, seems strange to begin doing it sooo soon after surgery, nor do I have breast tenderness, etc... that I usually feel with ovulation. Everything is essentially localized to the right ovary. Pelvic lymph node right there is very easily palpable also, don't know if this is relevant or not, but can't feel other side, and never have this side before, but noticed it the other day when putting my warm gel pack on - scared me at first to feel so large a nodule, but then realized it must be the lymph node - anyway, the lymph node isn't sore, just enlarged. I hate to keep worrying you, or them, but something just doesn't feel right. I keep trying to give them the benefit of the doubt and take part of this watchful waiting, as painful and frustrating as it is, for I really like my doc. As I had hurt on the right side also during the whole ordeal with the left cystadenoma, only not as bad, needless to say, as with the cystadenoma, could it possibly be that something was there microscopically? I did find out that they did not do any samplings from that area, and the reasoning for not removing that cyst on that side while in there is that they didn't want to do anything to the right ovary if they didn't have to. To me, considering they were in the process of taking out something the size of a small volleyball on the left side, and losing my left ovary due to it being so diseased from the neoplasm, that it would have been more logical to just nick the other cyst off, rather than take a chance on it becoming problematic, or turning into another cystadenoma, for from what I understand, when they are that small, it is difficult to differentiate them from simple cyst, etc..., and, too, knowing that once upon a time, the volleyball cystadenoma was once those sizes too. It just seems to have been simpler to get rid of it then, for I would be avoiding all of these new symptoms and horrid pain so soon afterwards. Does it make sense to you, that it could have been something microscopically, or whatever, in the process even then, for it to become so acute now so soon after surgery? The laproscopic areas have all healed, and those areas aren't even sore when they pressed down on them, which is good news. However, when they touched that right side on external exam, it was very painful, let alone the pelvic and vaginal ultrasound - which by the way made it hurt like the devil for hours and hours afterwards - lol. Guess I'm just still stumped and don't really know what to do. Figured if it was ovulation, as they were hoping, it would be over with by now, since this is the end of the 9th day, or at least getting better instead of worse. What could make one feel like they are about to pass out? It's happened several times now recently (last day or two) when I've been up walking for a little bit - pain gets worse, pressure gets horrid - straight through that hip, that side of the pelvis, and even radiating downward toward the vagina, then I start feeling swoony - like ears ringing, lightheaded, peripheal darkening - had to sit down with head between my legs doing the slow breathing, in through nose out through mouth routine, with a cold wash rag. Just find it odd that walking such a wee bit has that effect. Makes me wonder if it's growing, or enlarging so much that the movement of walking puts too much pressure on it. Anyway, would love to hear your comments or suggestions, for I'm torn between pushing them to do something and trying to wait it out even longer. I don't want to bug them, but at the same time, just feel being confined to lying down for "possible Ovulation" is a bit extreme, seeing as in the past 20 years, it's never, ever been like this. I personally don't feel I'm ovulating - I feel like I know my body. I think it's all related to this new growth and ovary. As the final pathology came back with low malignant potential, and I had hurt on that side all during that, only not as bad, makes me wonder about something going on microscopically. I wish they would have checked it out while they were in there. Hope you have a really good weekend! Victoria
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