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I have had recurring ovarian cysts, which caused pain in my lower right quadrant, although larger cysts were found repeatedly on the left. In December, the right ovary and fallopian tube were removed and pathology came back clear (just very fiboros). The pain has continued, along with regular headaches (always a problem), sometimes bowel changes in both directions, fatigue. I have had a colonoscopy (clear), upper gi series (clear), MRI (found the cysts and 3cm gallstone, which the gall bladder was removed). Is this just 'phantom' pains, or damaged nerves from a long history of ruptured cysts, or something else?

2007-09-24 19:48:21 · 4 answers · asked by bluefish787 3 in Health Women's Health

4 answers

Chronic pelvic pain is very hard to diagnose and there are many causes of chronic pelvic pain.

I'm sure your doctor/specialist have done most of these tests and that you are familiar with most of them, however I thought I would mention some of them to you again incase you may need to ask your doctor/specialist about them...

Chronic pelvic pain can be caused by an infection or inflammation. An infection doesn't have to affect the reproductive organs to cause pelvic pain. Pain caused by the bladder, bowel or appendix can produce pain in the pelvic region. Diverticulitis, irritable bowel syndrome, kidney or bladder stones, as well as muscle spasms or strains are some examples of non-reproductive causes of pelvic or lower abdominal pain.

Other causes of pelvic pain can include pelvic inflammatory disease (PID), vaginal infections, vaginitis, and sexually transmitted diseases (STD's), endometriosis, adenomyosis, and ovulation pain.

Due to the large number of possible causes of pelvic pain, diagnosis begins by process of elimination. Your doctor/specialist may order several types of tests to diagnose the problem. It may seem tedious and time consuming, however, this approach is the best way for your doctor/specialist to determine the cause of your pelvic pain.

Some of the tests that your doctor/specialist may order include ultrasounds, CT-scan, MRI as well as probably all those you have already had. However these tests cannot detect endometriosis or scar tissue (adhesions) and laparoscopy may be necessary to diagnose the cause of your pelvic pain.

I would recommend seeing your gyneacologist and ask about endometriosis or scar tissue (adhesions).

Good luck, I hope you find a diagnosis to your pain real soon. I too have been going from doctor to doctor and having test after test and nothing has diagnosed what is causing my chronic pelvic pain. I am now booked in to have a laparoscopy done on 11 October to see what they find.

2007-09-24 20:02:27 · answer #1 · answered by Anonymous · 0 0

It could be a chronic pain issue, but when you mentioned headaches my first thought was "has anyone checked her progesterone level?" If your level is off it can cause the headaches and all sorts of other female issues. And if you have an actual history of ruptured cysts, which are quite painful maybe it is a chronic pain issue.

xxx

2007-09-24 19:54:47 · answer #2 · answered by Shel 6 · 0 0

it probably is 'sympathy' pains . & a little bit of damage from the previous trama.

the hormones also could be effecting you, like going up or down. causiing the head aches.

make sure to let your dr. know about this.

2007-09-24 20:17:24 · answer #3 · answered by AnnaMaria 7 · 1 0

This could be something else like endometriosis. I would recommend asking your doctor about this possibility.

To learn more about endometriosis please check out: http://www.endocenter.org

2007-09-24 23:53:00 · answer #4 · answered by sokokl 7 · 1 0

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