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Suggest Treatment For Recurrent Endometriosis
Question: Hi, I have an unresolved hype choice lesion of the left ovary that has been changing size (fluctuating between 3cm & 8 cm) for several months, as documented on pel I ultrasound. Since I was 15 yo I have experienced severe cramping around the time of menstration, so bad I have had episodes of loc. I have been experiencing moderate pain and diarrhea for a number of months, however, only sought evaluation 2 months ago, as I had a mire a iud placed and thought for a bit these things were related to that being placed. My ob dismisses the bowel symptoms as unrelated, although these symptoms almost always occur simultaneously. I have had two pelvic ultrasounds recently and now the radiologist has recommended pelvic MRI, I am 33 yo, have had one pregnancy (carried to term), and have a family history of colon cancer. I also had a chocolate cyst removed in 2008 that was 6cm, same ovary. Im concerned about endometriosis or even this putting me at an increased risk for ovarian ca (some family history of ovarian ca and early menopause- cousins, not mother) I was hoping for some direction on what course of action I should discuss with my doctor, I'm feeling as if he isn't concerned.
Brief Answer:
You have recurrent endometriosis
Detailed Answer:
Thank you for the question and I would be happy to help. Let's first get the story into a more organized fashion. What I know from what you said is:
1. You have a long history of pain with cycles
2. You were diagnosed with endometriosis and in 2008 had surgery that included removal of a 'chocolate cyst' (this is endometriosis that forms a cyst)
3. You previously carried a healthy pregnancy to term
4. You now have continued pain and an ultrasound showing a large (3-8cm) lesion involving the left ovary (same side as the prior cyst)
With regard to your personal history, is this a good summary?
You have recurrent endometriosis
Detailed Answer:
Thank you for the question and I would be happy to help. Let's first get the story into a more organized fashion. What I know from what you said is:
1. You have a long history of pain with cycles
2. You were diagnosed with endometriosis and in 2008 had surgery that included removal of a 'chocolate cyst' (this is endometriosis that forms a cyst)
3. You previously carried a healthy pregnancy to term
4. You now have continued pain and an ultrasound showing a large (3-8cm) lesion involving the left ovary (same side as the prior cyst)
With regard to your personal history, is this a good summary?
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Answered by
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