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DUB treatment (2) From: Surasak (moph00@hotmail.com) Mon Jan 26 13:19:27 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: RModugno@aol.com: "Re: Erythropoietin" Previous message: GIN11153@aol.com: "Texas fetus abuse law could spell trouble for doctors-from the AMANewsletter" Next in thread: Dr. Ainsworth: "Re: DUB treatment (2)" Reply: Dr. Ainsworth: "Re: DUB treatment (2)" More info: Menarche 15 yo. Usually irregular period, obviously related to stress. Spotting every day for last 3 mo. TSH 1.8, FSH 5.9, PRL 8, CHL neg, GL neg Let me put the question this way. Does D&C indicate in this case? Thanks, Surasak At Wed, 21 Jan 2004, Surasak wrote: > >33 yo married women with 3 months of DUB and no medical therapy. Plan >to conceive. > >Pelvic U/S Findings: >The uterus is not enlarged measuring 8.7 cm in lenght. There is a 2.5 cm >fibroid in the anterior aspect of the uterine body. The endometrium was >very thickened measruing 3 cm. > >Both ovaries were normal with no adnexal masses. There is a small >amount of fluid in the cul-de-sac, probably physiologic in nature. > >Impression: >1) Thickened endometrial echo complex. Differential diagonosis includes >endometrial hyperplasia, endometrial polyp/polyps, submucosal fibroid >and endometrial carcinoma. >2) 2.5 cm fibroid. > >What is an appropriate treatment of choice, D&C plus hysterscope, or >hormonal therapy plus follow-up? > >How to keep her fertility without bleeding? Next message: RModugno@aol.com: "Re: Erythropoietin" Previous message: GIN11153@aol.com: "Texas fetus abuse law could spell trouble for doctors-from the AMANewsletter" Next in thread: Dr. Ainsworth: "Re: DUB treatment (2)" Reply: Dr. Ainsworth: "Re: DUB treatment (2)"

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