Re: Complex Hyperplasia With atypia in a 29 years old!

From: Joanne Bulley, MD (jbulley@cheshire.net)
Fri Jun 30 23:26:06 2000


If, after informed decision, she opts for hyst, then go ahead. If she opts for Megace or Provera, then I would feel that once the hyperplasia is reversd, she needs some sort of ongoing progesterone treatment. Perhaps 10 of provera 14 days per month or perhaps put her on progesterone only OCP. Sample q 6 months for a bit to verify she has stabilised...

Joanne

At Fri, 30 Jun 2000, M.S wrote: >
>Hi, I got this 29 years old g2p2 with Complex Hyperplasia With atypia on
>endometrial biopsy as well as on a D&C done with hysteroscopy.
>I talked to her about maybe a few months of Megace or provera & then
>resample , but I told her she should hurry up & finish her family
>because we don't know what happens in the future, she has* NO *future
>plans for having kids ........ would you then offer a hysterectomy ?
>What would be the advantage on siting on a time bomb like this for many
>many years?
>Thanks

--
Joanne Bulley, MD
Keene, NH, USA




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