17 Year old Dysmenorrhea/Endometriosis?

[Guest guest]

Have been treating a 17 year old with dysmenorrhea - she started

suffering the pain 12 months ago - then started with an irregular

cycle bleeding every 14 days for 14 days. After 3 months the pain

got so bad that she started Ortho Evra as a patch. This regulated

the cycle but the pain remains in the area over the left ovary. The

pain occurs 1-2x per day through the whole 28 days of her cycle.

The OB suspected ovarian cysts, but the ultrasound was -ve. No

other testing was done. There are clots present in her cycle.

 

After 3 months on the birthcontrol patch the pain continues, both

over the ovary and in the low back 1 day before and 3 days of

cycle. It is sharp and tends to run down both the side and back of

her legs into the calf.

 

Patient has a low affect, low energy level. Has difficulty falling

asleep till after 2 am then unable to waken easily. She experiences

vertex HA's almost daily. BM's alternate days but consistent. She

is strong willed and has a quick temper. Her pulse is rapid and

wiry. The tongue is pale pink, with a white coat and slightly

shaky - there is no sign of stagnation or engorgment.

 

On palpation there is tension through the Ren Mai CV 14 - 8, reflex

tenderness over left Zigong, Along the channels there is puffiness

and tenderness particularly at Sp 8 - tenderness at liver 8.

 

2 weeks ago the patient started Rx stratera for ADHD - to help

focus.

 

2 Days ago the pain was so bad the patient woke at 2:30 with cold

sweats and pain - a visit to the OB, they have taken her off the

patch and want to try Depo-Provera to arrest the cycle for 12

months. Failing that they want to do investigative laproscopic Sx

to see if endometriosis is the cause.

 

Question

Do I continue to treat while the patient is taking Depo-Provera.

 

Would an herbal regimen be suitable to try and treat the root

(damp/phlegm acc, SpQi Xu, Lv Qi constraint)

 

The parent is looking for advice - understanding that the Depo-P is

only masking the problem - but also seeing the pain and suffering

that the patient is experiencing in her Sr year.

 

Any input would be appreciated

 

Kayte

www.acupuncture4health@...

[Guest guest]

, " acupuncture4health "

<acupuncture4health@r...> wrote:

 

> Any input would be appreciated

 

Keep in mind that just because a female has lower abdominal pain and

also has menstrual problems does not mean that the abdominal pain has

to be a gynecological issue.

 

Have you investigated other possibilities?

 

Brian C. Allen

[Guest guest]

The OB is also investigating for Kidney infection/UTI - No sign of

infection.

 

I have requested medical records and in particular was looking to

check the Thyroid.

 

My only other thoughts were appendix or possibly Kidney stones, but

there has been no burning or change in urinary symptoms. And the

Ultrasound back in January would have most likely shown stones or

enlarged appendix.

 

Kayte

 

, " bcataiji " <bcaom@c...>

wrote:

> , " acupuncture4health "

> <acupuncture4health@r...> wrote:

>

> > Any input would be appreciated

>

> Keep in mind that just because a female has lower abdominal pain

and

> also has menstrual problems does not mean that the abdominal pain

has

> to be a gynecological issue.

>

> Have you investigated other possibilities?

>

> Brian C. Allen

[Guest guest]

, " acupuncture4health "

<acupuncture4health@r...> wrote:

> Question

> Do I continue to treat while the patient is taking Depo-Provera.

IMO Yes why not?

>

> Would an herbal regimen be suitable to try and treat the root

> (damp/phlegm acc, SpQi Xu, Lv Qi constraint)

Yes, IMO stop the pain and treat the root.

Since she has pain over her left ovary treat it. One of my favorite

techniques for this sort of pain is needle above zigong and needle

Sp 8(which just happens to be tender how convenient!) connect them

with micro-current. Works great.

 

Hope this helps

Jill Likkel

[Guest guest]

Thanks Jill - any specific setting for the microcurrent? I have

used the protocol before but not with micro..

 

Kayte

 

, " Jill A. Likkel "

<jilllikkel@h...> wrote:

> , " acupuncture4health "

> <acupuncture4health@r...> wrote:

> > Question

> > Do I continue to treat while the patient is taking Depo-Provera.

> IMO Yes why not?

> >

> > Would an herbal regimen be suitable to try and treat the root

> > (damp/phlegm acc, SpQi Xu, Lv Qi constraint)

> Yes, IMO stop the pain and treat the root.

> Since she has pain over her left ovary treat it. One of my

favorite

> techniques for this sort of pain is needle above zigong and needle

> Sp 8(which just happens to be tender how convenient!) connect them

> with micro-current. Works great.

>

> Hope this helps

> Jill Likkel

[Guest guest]

, " acupuncture4health "

<acupuncture4health@r...> wrote:

> Thanks Jill - any specific setting for the microcurrent? I have

> used the protocol before but not with micro..

>

> Kayte

 

I like to use one Hertz (one second). And then I turn the dial until

the patient feels a mild tapping. Usually no longer than 40 minutes

but it seems to be ok if you can get a solid 20 minutes.

Good luck,

Jill