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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Solution For Intense Pain In The Abdomen Caused By Hemorrhagic Cysts With A History Of Endometriosis?

Hi,

I am 33 years old and on 24DEC i had this intense out of the blue, severe pain that caused me to double over. I was a marathon trying to get to the car. I decided to try and lay on the couch for three hours, to no avail. Pain was worse. RLQ Abd pain into my back. I would rather give birth to my children again. Ultrasound revealed hemorrhagic cysts 4cm and larger. They used the word ?septea? I have been the ER three out of five days now. GYN consulted with me in ER and decided it needed to come out. I am active duty army and i absolutely can't get off the couch. I can barely go to the bathroom without a severe spike in pain. It doesn't seem like this GYN is any rush, and i am in tears from this pain. 1) Is this intense pain normal, for the dx, and 2)why isn't he in more of a rush mode to get this thing out. It is severly painful. Put it this way 10mg IV Morphine, pain didn't hurt was still there and noticable pressure. I am at home using Percocet q4h (two tabs) and Ibuprofen 800mg q 6. And i am STILL wretching in pain? What can i do to releave this until he takes it out. SIde note: I have had my left ovary removed, dx of hemorrhagic cysts that were bleeding into abd , and they took my uterus due to the beginnings of fibroids. Upon biopsy, it was negative for CA, but i did get a diagnosis of endometriosis although she called it "ANGIOmetriosis". Could you please explain all this too me. And then could you please give your opinion? This was in 2010, and I don't ever remember my L ovary feeling like this and dx of rupture into abdomen was worse than this one. The hospital that i am required to go to is famous for missing things on radiology reports, and i am afraid they will find more than they bargained for, when they go in. As this pain doens't match the dx, or so i think? What is your opinion. I just want this pain gone. I cannot function, usually ninety percent of my day is focusing on breathing to get through the pain. It wasn't like this for the other ovary?
Fri, 3 Jan 2014
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OBGYN 's  Response
Hello
Thanks for writing to us with your health concern
There is no term such as ' angiometriosis '.
The diagnosis is ' endometriosis '.
yes, the pain matches the diagnosis.
It is a condition where the normal tissue that lines the cavity of the uterus ( endometrium ) grows and proliferates outside the uterus, on the tubes, ovaries, in the pelvis..
This too also bleeds cyclically in response to hormones, just as the uterine lining does.
Thus, there is bleeding inside the cyst, leading to haemorrhage inside them.
This causes the typical pain
In addition to this, if there are spots of endometriotic tissue on the pelvic surfaces, they too add to the pain.
your pain is not uncommon, many women cannot live with the pain of endometriosis.
I can totally understand your predicament.
Yes, they need to be removed, to provide some relief.
Once the ovary is out, the hormones responsible for the endometriotic growth would be eliminated, providing relief.
Get the surgery done, you obviously cannot live with this pain.
Take care.
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What Is The Solution For Intense Pain In The Abdomen Caused By Hemorrhagic Cysts With A History Of Endometriosis?

Hello Thanks for writing to us with your health concern There is no term such as angiometriosis . The diagnosis is endometriosis . yes, the pain matches the diagnosis. It is a condition where the normal tissue that lines the cavity of the uterus ( endometrium ) grows and proliferates outside the uterus, on the tubes, ovaries, in the pelvis.. This too also bleeds cyclically in response to hormones, just as the uterine lining does. Thus, there is bleeding inside the cyst, leading to haemorrhage inside them. This causes the typical pain In addition to this, if there are spots of endometriotic tissue on the pelvic surfaces, they too add to the pain. your pain is not uncommon, many women cannot live with the pain of endometriosis. I can totally understand your predicament. Yes, they need to be removed, to provide some relief. Once the ovary is out, the hormones responsible for the endometriotic growth would be eliminated, providing relief. Get the surgery done, you obviously cannot live with this pain. Take care.