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What could this be? What could this be?

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Unread 03-09-2003, 12:54 AM
What could this be?

Yes, a new pain!

Now I am experiencing sharp, pulling pains in my lower left pelvis and back. Depending on how I move, I will feel this pulling sensation in my back and front on the same side at the same time. Could it just be a muscular thing......or does that sound like it could be adhesions???? I have been having lot's of pain and tenderness where my ovaries are(especially on the left side), so it makes me think adhesions.....but maybe it's muscular???? How can I tell the difference?
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Unread 03-09-2003, 10:11 AM
{{{{{ Pasdechat }}}}}

Good Morning!!!!

Sometimes I think you and I were baked from the same batch of cookies!!!

That is the same type and same place of pain I've been experiencing for the past several months! Today is a particularly rough day too.

As you know, I'm having a lap done this Thursday to check for adhesions and remove those pesky little things if so.

All along my gut instinct has been adhesions that are pulling and tugging on my already "twitchy anatomically small IC bladder" - I will not be surprised if there is a plaster party going on in there!

It wouldn't hurt for you to call you doctor before they get too out of hand like mine have.

's to you...

Unread 03-09-2003, 12:47 PM
What could this be?

(((((pasdechat)))))) Somedays I feel like these new pains or new symptoms are endless, for those of us who are travelling this Road I'm so sorry you've got yet another pain

The pain you are describing could be from a number of things, ranging from a pulled muscle to adhesions to????... That's why a call to your doctor sounds like the best thing to do... just to be on the safe side.

I do hope that it turns out to be nothing Please keep us updated... we're all for you.
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Unread 03-09-2003, 01:24 PM
What could this be?


I really wish I could give you an answer. Especially considering that I have been feeling the same thing ever since about 4 weeks post op. My gyn said she felt it was either adhesions/scar tissue forming or endo returning. Some times it is just annoying and other times downright painful. Good luck on finding out what is causing this and in finding relief!
Unread 03-09-2003, 02:21 PM
What could this be?

As everyone has already indicated the pain could be from so many different things. While our pains can be similiar they can be coming from different things. Please do give the a call on Monday.

I'm sending tons of s and prayers that your doctor will be able to find the source of your pain and you will soon be feeling better.
Unread 03-10-2003, 11:18 PM
What could this be?

Tomorrow I will be 3 weeks post op. I started having pain 3 days ago. it is in my left lower abdomen, and it is a sharp, burning stabbing pain. Very much affected wth stretching or use of my abdominal muscles, It takes my breath away. I went to my doc today, and she did an ultrasound. it didn't show anything unusual. I only have my left ovary remaining. My doctor questioned if I was overdoing it, and then said it was prob. an adhesion, and that I should stay active. keep walking and no lifting or bending, or strenous type stuff, and it might release in time. I go back in 3 weeks, and we will check on it then. She also mentioned that there is still a lot of healing that needs to take place, and it is important not to overdue it.
It's a good idea to call your doctor because it could be something, or it could be just all that healing that needs to take place. My doctor also mentioned that ovulation can cause considerable pain as well, but I told her I have never had aything that ever felt like this before, so she does think it is an adhesion. good luck, and never hesitate to call your doctor with anything new, especially pain.
take care, and let usknow how it turns out.
Unread 03-11-2003, 12:46 AM
What could this be?

First of all hugs to all the ladies in pain (what is with this left side thing???)

I am so glad your doc reminded you that it is early days and there is lots of healing still to do. But certainly if pain is unusual or new its good to check, we pay them enough so they should be ready to answer our questions right?

Lori you and I may be twins! I go in Friday for my lap but as I am a day ahead in Australia perhaps we'll be in together, wishing you (and me ) the end of pain and a happy trip to the hosp!

My doc suspects he'll find endo with the adhesions on ovaries, bowel and rectovaginal (pouch of douglas? who is Douglas and what is he doing in there???)

I also have an ovarian cyst (or that is what they "thought" it looked like on CAT scan - it might be a mystery prize!!!).

love and luck to you all,
Unread 03-11-2003, 03:17 AM
What could this be?

I'm sorry your experiencing a new pain I have some extensive Adhesions & mine cause me similiar pain. If I move suddenly, twist stretch I get this sharp, stabbing burning pain. As the others said it could be several different things tho...here is some Adhesions info, pls discuss it w/ your Dr:

Adhesions are an almost inevitable outcome of surgery, and the problems that they cause are widespread and sometimes severe. It has been said by some that adhesions are the single most common and costly problem related to surgery, and yet most people have not even heard the term. This lack of awareness means that, excluding infertility, many doctors are unable or unwilling to tackle the problems of adhesions, many insurance companies are unwilling to pay for treatment and many patients are left in misery.This paper describes adhesions, their treatment and their relationship to pain and bowel obstruction. In addition, stories from patients are featured to illustrate how adhesions (or suspected adhesions) affect their daily lives and how they cope with a sometimes-insurmountable problem.

A key lesson and source of comfort for patients with this problem is that they are not alone and the importance of mutual support among patients cannot be underestimated.

ADHESIONS are believed to cause pelvic pain by tethering down organs and tissues, causing traction (pulling) of nerves. Nerve endings may become entrapped within a developing adhesion. If the bowel becomes obstructed, distention will cause pain. Some patients in whom chronic pelvic pain has lasted more than six months may develop "Chronic Pelvic Pain Syndrome.” In addition to the chronic pain, emotional and behavioral changes appear due to the duration of the pain and its associated stress. According to the International Pelvic Pain Society: www.pelvicpain.com

"We have all been taught from infancy to avoid pain. However, when pain is persistent and there seems to be no remedy, it creates tremendous tension. Most of us think of pain as being a symptom of tissue injury. However, in chronic pelvic pain almost always the tissue injury has ceased but the pain continues. This leads to a very important distinction between chronic pelvic pain and episodes of other pain that we might experience during our life: usually pain is a symptom, but in chronic pelvic pain, pain becomes the disease."

Chronic pelvic pain is estimated to affect nearly 15% of women between 18 and 50 (Mathias et al., 1996). Other estimates arrive at between 200,000 and 2 million women in the United States (Paul, 1998). The economic effects are also quite staggering. In a survey of households, Mathias et al. (1996) estimated that direct medical costs for outpatient visits for chronic pelvic pain for the U.S. population of women aged 18-50 years are $881.5 million per year. Among 548 employed respondents, 15% reported time lost from paid work and 45% reported reduced work productivity. Not all ADHESIONS cause pain, and not all pain is caused by ADHESIONS.Not all surgeons, particularly general surgeons, agree that ADHESIONS cause pain. Part of the problem seems to be that it is not easy to observe ADHESIONS non-invasively, for example with MRI or CT scans. However, several studies do describe the relationship between pain and adhesions. According to an early study (Rosenthal et al., 1984) of patients reporting CPP, about 40% have adhesions only, and another 17% have endometriosis (with or without adhesions). Kresch et al., (1984) also studied 100 women and found ADHESIONS in 38% of the cases and endometriosis in another 32%. Overall estimates (Howard, 1993) of the percentage of patients with CPP and ADHESIONS is about 25%, with endometriosis accounting for another 28%. These figures must be understood in their context, and I recommend highly Howard's article.It is important to recognize that emotional stress contributes greatly to the patient’s perception of pain and her/his ability to deal with the pain. Rosenthal et al. (1984) found that of the patients in whom a possible physical cause of pain (including ADHESIONS) could be identified, 75% had evidence of psychological influences on the pain.

The problem with adhesiolysis is that ADHESIONS almost always reform, and so the procedure is sometimes self-defeating. This is one of the main reasons why surgeons are reluctant to perform adhesiolysis, particularly in severe cases. In addition, the presence of adhesions makes surgery more hazardous, because of the risk of injury to the bowel, bladder, blood vessels and ureters. As we have seen, some patients may have periods of relief from and/or bowel obstruction for several months, only to have the problem recur

Adhesions are a common occurrence after pelvic or abdominal surgery. Adhesions are also common in women who suffer from pelvic inflammatory disease (PID), endometriosis, or sexually transmitted diseases.

The likelihood of adhesion formation and the seriousness of their consequences vary based on multiple factors (e.g., type of surgery, number of previous surgeries, surgical technique, and the predisposition of individual patients). However, studies have consistently shown that a majority of women who have gynecologic surgery will experience some degree of adhesion formation.
All of the abdominal and pelvic organs except the ovaries are at least partially wrapped in a clear membrane called the peritoneum. When this membrane is traumatized during surgery, the site of the trauma becomes inflamed. Inflammation is normal and in fact is part of the healing process, but it also contributes to adhesion formation by encouraging the development of fibrous bands of scar tissue.

Normally, these fibrin bands eventually dissolve through a biochemical process called “fibrinolysis,” and the traumatized site continues to heal. But sometimes the nature of the surgery results in decreased blood flow to these areas (ischemia). This ischemic condition can suppress the fibrinolysis. If the fibrin bands do not dissolve, they may develop into adhesions that connect pelvic organs or tissues that normally are separate.

Pelvic Pain: Adhesions are commonly associated with pelvic pain. Adhesions cause pelvic pain because they bind normally separate organs and tissues together - essentially “tying them down” - so that the stretching and pulling of everyday movements can irritate the nerves involved. Adhesions can also cause pain during intercourse.

Bowel Obstruction: Adhesion formation involving the bowel is particularly common following a hysterectomy. While these adhesions don’t normally result in any problems, there is one serious problem that can develop. It is called intestinal or bowel obstruction, and it can occur a few days or many years after surgery. Symptoms of bowel obstruction may include pain, nausea, and vomiting.

Ovarian Surgery: The ovaries are one of the most common sites where adhesions form. Adhesion formation after ovarian surgery can lead to pelvic pain and infertility.

Surgical Treatment of Endometriosis: Endometriosis is a condition in which patches of cells similar to the ones in the uterine lining become implanted outside the uterus – usually on the ovaries, bladder or fallopian tubes. This condition can be associated with severe inflammation and dense adhesions, and can potentially contribute to infertility. Endometriosis itself can lead to adhesions, and when those adhesions are surgically removed, new adhesions can re-form.

Hysterectomy: Hysterectomy is a procedure in which the uterus is removed. Removal of one or both ovaries (oophorectomy) is sometimes performed at the same time. Adhesions that form after this procedure may attach to the small intestine, causing pelvic pain, constipation, and sometimes a more serious complication –bowel obstruction (blockage of the intestine). Bowel obstruction may occur shortly after surgery or may may occur years after surgery.

Cesarean Section: These adhesions typically do not cause pain. They can sometimes make subsequent cesarean sections more difficult, however, because the physician must cut through these adhesions to reach the uterus and the baby. This can increase the length of the procedure and the amount of time the mother and baby are under anesthesia. There is also a risk of damaging surrounding organs such as the bladder.

To determine whether adhesions are the cause of pelvic pain or fertility problems, your doctor may perform a laparoscopy, an exploratory procedure using a laparoscope (a narrow lighted telescope inserted through a small incision in the “belly button”) to inspect the abdominal cavity and pelvic structures.

The only way to treat adhesions is to remove or separate them surgically. This procedure is called adhesiolysis. Studies have shown that patients with pelvic pain and severe adhesions can experience a marked reduction in symptoms after adhesiolysis.

Pelvic Pain Assessment Form:

Incapacitating pelvic pain:

Pain assessment:

Questions You Should Ask About Pain & Pain Treatment:

Pelvic/vaginal pressure or fullness:

Pain in pelvis/lower abdomen:


Gynecologic Causes of Pain - Internal: In Pelvis or Abdomen:

Pain Diary Worksheet:

Adhesion causes:

Chronic Pain Info & Organizations:

Pelvic and Abdominal Pain and Endometriosis: http://www.wdxcyber.com/mpain.htm

Ovary and Adnexal Cysts and Masses:

Pelvic exam for chronic pelvic pain:

hope this was of some help Good Luck, I hope you are able to find some anwers & relief to your pain soon

PS Pls call your Dr

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