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This question was answered on Fri 29, Aug 2008 01:30am by Dr Bhupinder K, MD
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Does endometriosis require prescription pain medications?



Asked by Unregistered (Female; 28; USA; 2006 diagnosed with endometriosis; Relevant drugs:None. ) on Wed 20, Aug 2008 01:41pm :

This about my daughter-in-law. They've been married for four weeks and she's have four trips to the ER. The ER doctors state they don't see anything on the vaginal sonogram or MRI. The first visit they did a vaginal sonogram and said her cysts broke and gave her a few some hormones to take. The second visit was due to pain and they gave her a pain pill which didn't work. She stated she needed something stronger. The last two times (most recently last night) they have found nothing. She says she needs a pain prescription and told my son at one time was addicted to pain meds. She states her pain is excruciating in her abdomen, sweats, throws up and is unable to work. Yet she is able to clean friend's houses, smokes, walks, goes shopping, and can travel long distances. They have no insurance so are applying for financial aid with a clinic. Is this endometriosis, or possible addiction to pain meds? Thank you for your time.
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Answer by Dr Bhupinder K, MD (doctor) on Fri 29, Aug 2008 01:30am:

Hello, Endometriosis is the growth of cells similar to those that form the inside of the uterus (endometrial cells), but in a location outside of the uterus.Symptoms of endometriosis include pelvic pain(usually before menstruation but sometimes during intercourse,urination or defecation), sometimes diarrhea or constipation,irregular or heavy menstrual bleeding,sometimes blood in the urine and inability to conceive. Although ultrasound is useful in diagnosing endometriosis, but still cannot definitively diagnose endometriosis.Laproscopy is the only accurate way of diagnosing endometriosis.Treatment involves NSAID pain killers,GnRH analogs,oral contraceptive pills,progestins and surgery. So if your daughter in law is having these symptoms,chances are that it can be due to endometriosis.It may be due to pain killers addiction and abuse also.But nothing can be clearly said without examination.So in my opinion,evaluation from a gynecologist is required and specific treatment for endometriosis should be started at the earliest. Take care and God bless.

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