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Re: Residual uterine tissue after subtotal hysterectomy From: Larry Glazerman (l.glazerman@rcn.com) Thu Dec 25 04:27:40 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: lufarn@ms1.hinet.net: "Re: 4D ultrasound" Previous message: Larry Glazerman: "Re: GYN: Residual uterine tissue after subtotal hysterectomy" In reply to: Garry E. Siegel, M.D.: "GYN: Residual uterine tissue after subtotal hysterectomy" Next in thread: ENDODOK@aol.com: "Re: GYN: Residual uterine tissue after subtotal hysterectomy" I've had several patients after supracervical hysterectomies require trachelectomy. I haven't been successful with any of them with hormones, FWIW -- Larry R. Glazerman, MD, FACOG Ob-Gyn at Trexlertown, PC 6900 Hamilton Blvd. Trexlertown, PA 18087-0060 610-402-0161 larry.glazerman@lvh.com -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. Siegel, M.D. Sent: Wednesday, December 24, 2003 2:56 PM To: Multiple recipients of list OB-GYN-L Subject: GYN: Residual uterine tissue after subtotal hysterectomy 39 YO P3103, old patient years ago, returned for a second opinion. 11/02 underwent subtotal hyst/BSO for fibroids, done with local good gyn onc and regular gyn. Since then, she has had been on Premarin 1.25 mg. daily for menopausal symptoms, but has bleed pretty much continously. Original gyn suggested OCPs; patient didn't try them. Another gyn did exam, ECC (inflammed endocervical tissue), and while I don't have records, the patient said the gyn said she only went in 2.5 somethings--I assume cm. Her internist ordered a pelvic ultrasound, which showed a "long cervix" and residual uterus 5.9 X 3.7 X 3.0 cm. Ideally, I would like to sample her endometrium, or even look at it with a scope, but I'm none too keen on going up her cervix and into her abdominal cavity! Thus, I've proposed to simply cycle her as if she were menopausal with a uterus (she sort of is) with daily Premarin 1.25 mg, and Provera 10 mg. for 12 days/month, and see how she responds. She is pretty much ready to have another surgery, but I've suggested the above first. Any thoughts? Garry -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: lufarn@ms1.hinet.net: "Re: 4D ultrasound" Previous message: Larry Glazerman: "Re: GYN: Residual uterine tissue after subtotal hysterectomy" In reply to: Garry E. Siegel, M.D.: "GYN: Residual uterine tissue after subtotal hysterectomy" Next in thread: ENDODOK@aol.com: "Re: GYN: Residual uterine tissue after subtotal hysterectomy"

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