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Severe Cramping Pain

by 00552, Jul 06, 2007 12:00AM
I was diagnosed with endometriosis, then had laprascopy surgery in Dec. During surgery it was shown that all I had only adhesions. The adhesion was removed ( just one large one holding abdominal wall to colon). Had two normal cycles, now the last two months I have had severe abdominal pain during both ovulation and during entire cycle never any other time. Currently taking Ponstel, which prior to surgery helped to control pain plus shorten cycle, but now it barely touches the pain. The pain is severe, lasts somewhat like a contraction. It is also really aggravating a nerve that runs into my bum, I thought this was the vega nerve (sp?) but I haven't been able to find any information. Fibriods were checked for prior to surgery, none found. Also had colonoscopy, which only showed likely hood of Adhesions, prior to surgery. I know that I will need to call OBGYN, but feel like at this point I will be put through umteen tests. Hoped someone else might offer suggestions that I could research, and help rule in or out symptoms. All help appreciated!
Member Comments (1)

by BhumikaMD, Jul 09, 2008 06:49AM
Hi,

' Major symptom of endometriosis is severe recurring pain. The amount of pain a woman feels is not necessarily related to the extent or stage of endometriosis.

Symptoms of endometriosis can include (but are not limited to):

- dysmenorrhea - Painful, sometimes disabling menstrual cramps; pain may get worse over time (progressive pain)
- Chronic pelvic pain - typically accompanied by lower back pain and/or abdominal pain, painful sex , painful bowel movements
- Nausea, vomiting, and/or diarrhea
- dysuria - Urinary urgency, frequency, and sometimes painful voiding
- Infertility and subfertility. Endometriosis may lead to fallopian tube obstruction.

Some women may also suffer mood swings and fatigue.

In addition, women who are diagnosed with endometriosis may have gastrointestinal symptoms that may mimic irritable bowel syndrome.'

http://en.wikipedia.org/wiki/Endometriosis

The only way to confirm and diagnose endometriosis is by laparoscopy or other types of surgery. The diagnosis is based on the characteristic appearance of the disease, if necessary corroborated by a biopsy. Laparoscopy also allows for surgical treatment of endometriosis.

Generally, endometriosis-directed drug therapy is utilized after a confirmed surgical diagnosis of endometriosis.

Lupron depo shot is also a gonadotropin and is used to lower the hormone levels in the woman's body to prevent any growth of endometriosis. The lupron shot is given in 2 different doses a once a month for 3 month shot with the dosage of (11.25mg) or a once a month for 6 month shot with the dosage of (3.75mg).

This puts the body into a "medicated menopause", resulting in side effects such as mild to severe hot flashes or a drop in bone density (which usually recovers after treatment). The therapy is less invasive than surgical approaches.

Let us know if you need any other information and do review with your OBG.

Regards.
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