Abdominal-Pelvic Pain: When to Operate and When to Not....I URGE ALL WOMEN TO READ THIS!!

From: Helen Dynda (olddad66@runestone.net)
Thu Dec 12 10:46:02 2002


X>Abdominal-Pelvic Pain: When to Operate and When to Not...by James E. Carter, M.D.

http://www.obgyn.net/isge/isgenews_0601E.htm#abd About 35% of women with chronic pelvic pain will have no apparent pathology laparoscopically. Unfortunately, many physicians consider laparoscopy the ultimate or definitive diagnostic evaluation of pelvic pain and, when the findings are negative, may make one or more of the following statements to their patients:

* There is nothing wrong.

* The pain is in your head and you should see a psychiatrist or psychologist.

* You should have a neurolytic procedure, such as uterine nerve transection or presacral neurectomy.

* The only thing that is left to do is hysterectomy.

* Nothing can be done and you must learn to live with the pain.

The care of women will be improved if diagnostic techniques are used which can reduce the frequency of negative laparoscopies.


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