WOMENS-HEALTH Messages for December, 1999: Re: Pelvic pain, normal ultrasound, lap in Jan

Re: Pelvic pain, normal ultrasound, lap in Jan - Answers for Dr. M.

From: anonymous@obgyn.net
Wed, 22 Dec 1999 20:53:30 -0600 (CST)

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Reply: Harvey S. Marchbein, M.D.: "Re: Pelvic pain, normal ultrasound, lap in Jan - Answers for Dr. M."

At Wed, 22 Dec 1999, Harvey S. Marchbein, M.D. wrote: >
>At Mon, 20 Dec 1999, Anna wrote:
>>
>>I have had pelvic pain, right side for about 5 weeks now. Last week,
>>saw OB/GYN, pelvic exam showed nothing, except extreme pain and nausea
>>after exam. Ultrasound next day was normal. Negative for PID.
>>
>>Symptoms include bloating (look 3 months pregnant), nausea, pain
>>concentrated on right side, irregular bowels (either constipation or
>>diarrhea).
>
>May be a gastrointestinal problem and not even a gyn problem.
>
>>My doctor suspects endo.

>Possible but was it seen at the 4/98 surgery?
>
>>I had surgery 4/98 for ovarian cyst removal.
>>My doctor doesn't think it's surgical adhesions from that since I
>>haven't had pain until recently.
>
>Usually correct but still possible.
>
>>To be frank, I'm very scared. From what I do know of endo, it seems to
>>be something I'll have forever.
>
>As above, if it wasn't there 4/98, not likely to be the culprit now.
>
>>And I don't know how this could be
>>endo, since I take Ortho Novum 1/28 back to back, and have not had
>>period in over a year.
>
>Probably correct there but OCs are not 100%.
>
>>Also from what I have read, since I'm having bowel trouble, it could be
>>possible I have endo/adhesions in my bowel. How is that corrected?
>
>Depends upon the extent but I'm betting against endo at this time.
>
>>Under what circumstances would a uterus be removed because of endo?
>
>Only the most severe cases.
>
>>I'm
>>25. Does this mean I don't really stand a chance of ever getting
>>pregnant?
>
>Don't end the game before it starts. Get the diagnosis first. Good luck.
>
>>Any advice/information would be greatly appreciated.
>
>--
>Harvey S. Marchbein, M.D. FACOG, FACS
>Great Neck, New York

Thank you for your reply. There was no endo seen in 4/98. What questions should I be asking my doctor? Will it hurt anything to get the lap done if it is a gastro problem? What type of gastro problem could cause these symptoms? What others tests would be needed to determine that?

I have the time to see a gastro doctor, should that be coordinated through my OB/GYN?

Thank you for your time.

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