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Re: Adenomyoma From: Mark Perloe (mperloe@ivf.com) Sun Jun 18 17:44:12 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Betsy Hyde: "Re: Making sure PAPs get followed up; Femtrack, etc." Previous message: Mark Perloe: "Re: Adenomyoma" In reply to: Harrison Sheld: "Re: Adenomyoma" The use of addback therapy for leiomyomas is not affective. For fibroids, it is best to use a GnRH-a for presurgical preparation and not as long term suppression. For endometriosis, we use prempro or other estrogen and progesterone addback indefinitely while monitoring urinaryNTx. I have not seen any publications on addback therapy for adenomyosis. Like rectovaginal septum endometriosis, adenomyosis should be less sensitive to estrogen benefits than peritoneal endometriosis due to different receptor profiles. Mark Perloe At 06/17/2000 11:49 AM, you wrote: >In my experience (N=1) Lupron does not affect adenomyomas. The one case I had, >the patient had multiple myomas which shrank over a period of 6 months but >then >the uterus grew and grew and grew. (We were using Premarin 0.625 add back). At >LAVH she had a large posterior wall adenomyoma. May be just coincidence. -- Mark Perloe, M.D. http://www.ivf.com 404-843-2229 x110 5445 Meridian Mark Road, Atlanta GA 30342 Online Chat Monday Evenings 8-9:30pm ET http://www.ivf.com/chat.html Next message: Betsy Hyde: "Re: Making sure PAPs get followed up; Femtrack, etc." Previous message: Mark Perloe: "Re: Adenomyoma" In reply to: Harrison Sheld: "Re: Adenomyoma"

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