We need to stop the doctors from doing this crap to us...not accepting their word as God. They aren't going to advocate for us...we need to advocate for ourselves.
-- Karla> ----- Original Message ----- From: KathFindlay To: Multiple recipients of list ADHESIONS Sent: Tuesday, November 13, 2001 6:00 PM Subject: This is the procedure that surgeons follow
If you look at the chart below, you will see that pelvic clearance is recommended for Chronic PID but only in extreme cases.
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TITLE: PELVIC PAIN
RESOURCE PERSON: PROF NG SOON CHYE
1) DEFINITION
Pain experienced by the female in the pelvis
2) CAUSES
May be gynaecological or non-gynaecological Gynaecological causes result in primary or secondary dysmenorrhoea Non-gynaecological include intestinal, sacral or low lumbar and urinary causes idiopathies
3) CLINICAL APPROACH
3.1 History - PID, IUCD, ectopic, endometriosis 3.2 Physical examination - general, abdominal, pelvic 3.3 Investigation FBC AND ESR CA125 if endometriosis is suspected Gynaecological ultrasound Laparoscopy and hysteroscopy
3.4 Treatment Primary dysmenorrhoea: ovulatory-use oral contraceptive pills or anti- prostaglandins
Chronic PID: adhesiolysis especially at laparoscopy wide-spectrum antibiotics KIV rotational in extreme cases, THBSO and pelvic clearance
Endometriosis:
(a) surgical (b) medical eg. progestogens danazol decapeptyl