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Adhesions-Laparoscopy
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NicoleLayne85 posted:
Hello!

I recently (8/7/12) had a Laparoscopy done due to continues tugging and pulling pain/discomfort in my lower abdominal area ans painful intercorse. I had been having this discomfort for 2-3 years. My doctor finally listened to me and scheduled for surgery. My doctor advised me that she saw 3 black spots (2 on my wall and 1 one an overy), a few webs of endo and adhesions. She advised that she broke the webs up and the adhesions, and burned the black spots off. The second week after my surgery I started to get the tugging/pulling feeling again. On my post-opp i informed her of this and she said to take BC and that should help but she doesnt recommend going back in for surgery.

My question is, should i still be having this discomfort after the surgery? I would think I shouldnt be because she said that she took care of it.

Your time and answers are much approcated.

Thank
Nicole
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Jane Harrison Hohner, RN, RNP responded:
Dear Nicole: That is, alas, the million dollar question. You apparently had documented endometriosis along with removal of adhesions and overt endo "black spots". That she advised use of an endo suppressing medication (birth control pills) suggests that she likely thinks some endo growth will continue. As you may have read, removal of all minute, non-visible endo implants can be difficult.

She removed all visible adhesions and endo so that may be why she suggested not to do another surgery at this time. It may be that the tugging sensation was not from endo inflammation or adhesions. For the most "for sure" answer you would have to ask the surgeon that did your work up if any other etiologies were suspected (eg bowel issues).

By all means I would urge you to follow her prescription to see if the sensation can be abated. You should also clearly ask if she still believes the tugging and painful sex are from endometriosis. Lastly, you might want to repost your very important question to a wider group of endometriosis sufferers. Here is a link to our Web MD Endometriosis Community:

http://exchanges.webmd.com/endometriosis

In Support,
Jane
 
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NicoleLayne85 replied to Jane Harrison Hohner, RN, RNP's response:
Thank you Jane! I have reposted this in the link you have provided.

My GYN doctor was the one whom completed the surgery and she did not inform of anything that looked concerning. I also think she wouldnt know what to look for outside of her field.

I have did some research and and also going to try Adhesion release treatment to see if that works as well.

Thank you so much for your help
 
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Jane Harrison Hohner, RN, RNP replied to NicoleLayne85's response:
Dear Nicole: Let us know if either the birth control pills (BCPs) or adhesion release treatment gets rid of the pain. As a clinician I would ask you to consider doing only one thing at a time (eg BCPs first for a couple of months then adhesion treatment--or vice versa). That way you would be able to recognize which, if either, was most helpful. Lastly, if neither seems to help you might consider consulting with a GI specialist as the second most common cause (after GYN issues) of pelvic pain is bowel in origin.

Yours,
Jane
 
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NicoleLayne85 replied to Jane Harrison Hohner, RN, RNP's response:
Hi Jane! I have reposted as advised on the Endo community but have not received any feed back.
I was wondering, in your last post you stated i may want to consult with a GI specialist. Is there a community with an expert on here that i can repost this so they can review?

Thanks
 
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Jane Harrison Hohner, RN, RNP replied to NicoleLayne85's response:
Dear Nicole: Caprice to the rescue? I have checked several lists of Web MD experts as I thought there was a person doing GI concerns (IBS, diverticulosis, etc.). Yet I could not locate that person. Perhaps our own Mod Squad (moderator) Caprice can make a suggestion.
JHH


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