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What does my MRI scan report indicate?

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Posted on Mon, 25 May 2015
Question: I have had an MRI done. I have L5L6 and S1 nerve damage. Compressed nerves. But I am also SUFFERING from a chronic state of sexual arousal. Iam a 64 year old unmarried sexually inactive woman. I am miserable.
doctor
Answered by Dr. Ajay Panwar (1 hour later)
Brief Answer:
Please tell the following details-

Detailed Answer:
Hi XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.

If you would have presented to me as an outpatient,I would have asked you the following details,in order to make a clinical impression-

1)What prompted you to get a MRI done.Did you have any symptoms like pain,tingling,numbness or was it due to sexual problems?
2)Since how many years are you having these sexual problems?
3)Are sexual problems related to menopause?

It will be of clinical value if you can mention a few specific details about your sexual arousal problems-
1)Is it associated with persistent sexual desire?
2)Are there any relieving or aggravating factors?

Please follow up with the above asked details so that I can answer your query better.

Waiting for your follow-up.

Regards,
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ajay Panwar (5 hours later)
MRI was done because of persistent pain tingling on exterior right lower leg. I also felt numbness in my right foot especially my toes.I had acupuncture which relieved that
The sexual problems started after the acupuncture about 5 months ago.
The urges come at relaxed times. Sitting, driving especially on gravel roads.
I am not married. I do not have a partner. I do not arouse myself. I just want my life back.
I spoke to a neurologist who saw the MRI but suggested I see a gynecologist.
doctor
Answered by Dr. Ajay Panwar (17 hours later)
Brief Answer:
Hormonal changes/Menopause/L-S radiculopathy may be the rare cause.

Detailed Answer:
Hi XXXX,
Thanks for being in follow-up and providing the necessary details.

Based on your clinical history,I would like to highlight some of the important points-

1)L5-S1 radiculopathy is unlikely to cause persistent sexual arousal,but involvement of S2,S3 and S4 radicles may manifest like this sometimes.So,it may be a possibility that degenerative changes of spine are also compressing some of these nerve radicles too,thus causing the symptoms.

So,what we can do the best here is to continue treatment for L-S radiculopathy.Medicines like pregabalin,methylcobalamin and effective physiotherapy exercises must be continued sincerely.Physiotherapy exercises with proper technique are the mainstay here.PLEASE TAKE MEDICINES UNDER A PHYSICIAN'S GUIDANCE ONLY.

2)Surely,even I agree to the fact that you need to consult a Gynecologist as some of the female hormonal changes may be contributing to this syndrome.

3)Psychotherapy may also prove to be effective.A psychiatrist's opinion may be of value.

Hope that I have answered your query.If you have some follow-up questions,I shall be glad to answer else,please close the thread-rate it and write a review as your rating will be of help to me.

I feel a lot concerned about you and would like track your clinical developments.Please be in follow-up.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ajay Panwar (10 hours later)
Thank you Dr. Panwar,
I will try to find a gynecologist. I appreciate your professional insights.
This has been and is a very difficult situation..
I have lost one kidney to renal cell cancer. It has been 10 years. I worry about metastatic cancers. Could renal cell cancer take up residence in my cervix or spine or both?
doctor
Answered by Dr. Ajay Panwar (5 hours later)
Brief Answer:
Spinal metastasis can occur.Spread to cervix is uncommon.

Detailed Answer:
Hi XXXX,
Thanks for being in follow-up and appreciating.

Spinal metastasis for Renal cell cancer(RCC) is common,however spread to uterine cervix is rare.

What is the current status of your RCC?Is it controlled?

Please follow up,if any further queries else please close the thread,rate it and write a review as your rating will be of help to me.



Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ajay Panwar (11 hours later)
The surgery was done in Oct 2004 at Swedish hospital in XXXXXXX XXXXXXX USA
The follow up was monitored by XXXXXXX Hospital in Minot ND.
The oncologist is now retired. It has been 10 years.
No obvious symptoms. I was diagnosed with Acute bronchial asthma 2 years ago.
Have used an advair inhaler since.
Love having relative good health. Try to stay busy. This is an exasperating situation. I associate with warm and wonderful Christian friends who are morally clean and have a strong desire to stay that way. This uninvited sensuality has been a very uncomfortable environment for me. I have been single and celibate since 1990. Up until this episode I have not given intimacy much thought. This has been a shocking invasion of my personal space. I do have some physical discomfort at times, mostly in my lower back and hips.
doctor
Answered by Dr. Ajay Panwar (30 minutes later)
Brief Answer:
I hope RCC is cured.

Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.

So,10 years of symptoms free period is great.I hope RCC is cured.I can understand the emotional crisis,you are being through,at present.I am sure you can find the ways out.A Gynecologist and a Psychiatrist also,will help you out.So,please tell me about their opinion,once you have consulted them.

Meanwhile,continue treatment for L-S radiculopathy as I suggested above along with regular physiotherapy exercises.That is the probable cause of lower back and hips pain.

If you have some further queries,I shall be glad to answer else please close the thread and rate it.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Ajay Panwar

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What does my MRI scan report indicate?

Brief Answer: Please tell the following details- Detailed Answer: Hi XXXX, Thanks for being on healthcaremagic.com. I am Dr.Ajay Panwar,a neurologist,here to answer your query. If you would have presented to me as an outpatient,I would have asked you the following details,in order to make a clinical impression- 1)What prompted you to get a MRI done.Did you have any symptoms like pain,tingling,numbness or was it due to sexual problems? 2)Since how many years are you having these sexual problems? 3)Are sexual problems related to menopause? It will be of clinical value if you can mention a few specific details about your sexual arousal problems- 1)Is it associated with persistent sexual desire? 2)Are there any relieving or aggravating factors? Please follow up with the above asked details so that I can answer your query better. Waiting for your follow-up. Regards, Dr.Ajay Panwar, MD,DM(Neurology)