At Mon, 16 Dec 2002, cathy:- wrote:
>
>Well this is a fairly controversial theory, but do you have pain at
>ovulation? My internist believes that this pain (which is called
>"mittelschmertz") is caused by an abnormally large amount of fluid being
>released with the egg at ovulation, and then the fluid causes
>inflammation and inflammation causes adhesions. Every gyn I have ask
>about this theory has pooh-poohed it -- both my own gyn, and also the
>doctors on the obgyn.net question board. But none of them had any logic
>as to why this would be absurd, other than repeating robot-like that
>mittelschmertz is always benign.
>
>Another source of adhesions is not at all controversial, and doesn't
>involve surgery, a blow to the abdomen, or an infection -- which is that
>a burst ovarian cyst will certainly cause adhesions. Actually the
>mittelschmertz theory, if you think about it, is really a theory about
>ovarian cysts. It says that the normally ripening ovarian follicle gets
>enough fluid in it that it behaves like a baby cyst.
>
>Both of these are kind of long-shots, though. I think that an exploding
>cyst typically gives an adhesion pattern which looks a lot like what you
>would see from an infection -- in other words, like an explosion at a
>glue factory. Not adhesions confined to one small space. But on the
>other hand, no one really understands the mechanisms of adhesions, and
>why some people don't get them even though they have abdominal surgery.
>It is possible that at some point years back you had an ovarian cyst
>that exploded, or a PID that you didn't know you had, and by whatever
>mysterious process which the human body clearly has in some cases, your
>body "cleaned up" massive adhesions everywhere except in that one spot.
>And it was long enough ago that none of those cleared-out adhesions have
>left the slightest sign.
>
>Adhesions are mysterious in many ways. It is estimated that about a
>third of all Americans have adhesions. That's 90,000,000 people. That's
>a HUGE number. It is very clear that the vast vast majority of those
>people have no problems at all. So if you have adhesions and no obvious
>cause, it wouldn't be the biggest adhesion mystery out there!
>
>--
>cathy :-)
>