I saw the urogynecologist today and he said that I should give the IC meds some more time because he feels that IC is the most likely culprit, but there is a chance this is endometriosis instead (or in addition to IC). The fact that my frequency/urgency symptoms came on so quickly after an antibiotic dose for tonsillitis perplexed him. I didn't have any bladder problems growing up except for the increase in urination with my periods. The fact that my periods were so horrible and then now my frequency/urgency problems made him think that I could have endometriosis. He said I'm the most interesting case he had all week because 1/2 of my symptoms are like endometriosis (the pain) and 1/2 are like IC (frequency/urgency). I don't have the "peeing razor blades" feeling. I don't have pain with urination or holding my bladder. I just get this horrible build in urge that makes me feel sick, but no pain. I only really have pain with running or with my period. In that sense I am more likely to have endometriosis, but the urgency/frequency is more like IC. So, if by July I'm not feeling better on these bladder meds (which should help IC because I'm tolerating Elmiron well), I will have to have an exploratory surgery to look for endometriosis. If there is nothing there and meds don't work, he said that I'd be the prime candidate for the Interstim because I don't have bladder pain (even on a physical exam, pressing on it just makes my urge to pee stronger, no pain with it). He said of course that would be the last possible step and we should exhaust all meds first... but if by July I'm not feeling better, then we look for Endometriosis. If that is negative, then we have to be creative in terms of IC meds before considering anything drastic. He is a wonderful doctor and I trust him completely. He's the best in town. When I don't take Ultram, I feel so much worse... so I'm afraid I'll become tolerant to it. I thought I'd use it lightly and skip the morning dose and just do my night dose but that set me up for one of the worst days I've had in a very long time.
He is putting me on Lexapro due to the depression I'm getting. I hope it helps that, but also helps to dull the signal coming from my pelvis. Anyone have experience on that med?
Well, thanks for reading. Just thought I'd let you guys know what is going on.
He is putting me on Lexapro due to the depression I'm getting. I hope it helps that, but also helps to dull the signal coming from my pelvis. Anyone have experience on that med?
Well, thanks for reading. Just thought I'd let you guys know what is going on.
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