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Re: Counseling From: Efrain Ramirez (eramirezt@coqui.net) Fri Oct 10 18:52:15 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Gail Waldby: "Re: dyparunia after vaginal reconstruction" Previous message: guy venezia: "Re: tah-bso for endometriosis: estrogen plus progesterone?" In reply to: Braun, R. Daniel: "Re: Counseling" Next in thread: Richard D. Kaplan: "Re: Counseling" Thanks for your input - all of you - I agree with Dan - but I don't think it's an hemorrhagic corpus luteum - again - gracias. Ef >At Fri, 10 Oct 2003, Braun, R. Daniel wrote: > >I forgot to mention that I would think most likely cause is a >hemorrhagic corpus luteum, or a theca lutein cyst with hemorrhage into >it. > >Dan > >-----Original Message----- >From: Lynn D. Montgomery, M.D. [mailto:apgar10@montanadsl.net] >Sent: Friday, October 10, 2003 10:51 AM >To: Multiple recipients of list OB-GYN-L >Subject: Re: Counseling > >I agree with Dan. I would leave it alone until postpartum. No reason >to terminate unless reasons beyond the adnexal mass. Lynn > >Left ovarian cystectomy at 3 months postpartum. If you are too nervous >to wait that long, left ovarian cystectomy at 20 weeks gestation. This >is no indication for a TOP. If she wants TOP for other reasons, then do >that and do the left ovarian cystectomy at same time or 6 weeks later. > >Dan > >-----Original Message----- >From: Efrain Ramirez [mailto:eramirezt@coqui.net] >Sent: Thursday, October 09, 2003 9:59 PM >To: Multiple recipients of list OB-GYN-L >Subject: Counseling > >20 some year-old GI P 0, 9-10 weeks - left adnexal mass about 6.5 x 6.5 >cms - sonographically looks like an endometrioma - (could be a dermoid) >Ca 125 = 37 - (nv up to 35) Hx of right oophorectomy when 2 months old - >don't know path - at first she asked for TOP - but then not sure - cried >-inquired about alternatives, choices, how to proceed - - boyfriend >definitively wants termination - what would be your approach in >counseling her - and her boyfriend? -- "The opposite of a correct statement is a false statement. But the opposite of a profound truth may well be another profound truth." Niels Bohr (1885 - 1962) Next message: Gail Waldby: "Re: dyparunia after vaginal reconstruction" Previous message: guy venezia: "Re: tah-bso for endometriosis: estrogen plus progesterone?" In reply to: Braun, R. Daniel: "Re: Counseling" Next in thread: Richard D. Kaplan: "Re: Counseling"

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