-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: DUB treatment (2) From: art fougner, md (evsono@pipeline.com) Tue Jan 27 06:04:45 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: Bush's Remarks Today on Malpractice" Previous message: Efrain Ramirez: "Re: DUB treatment (2)" In reply to: Efrain Ramirez: "Re: DUB treatment (2)" Next in thread: Efrain Ramirez: "Re: DUB treatment (2)" Reply: Efrain Ramirez: "Re: DUB treatment (2)" one caveat before progestin therapy or biopsy - polyps are often missed by biopsy and don't respond to progestin rx. would again suggest ruling out a focal lesion before assuming global pathology. art At Tue, 27 Jan 2004, Efrain Ramirez wrote: > >Ron - why not an office EMB first? you can start her right on OC's that >same day - but you have a tissue diagnosis - > > >>At Mon, 26 Jan 2004, Dr. Ainsworth wrote: >> >>No! Cycle with progestogen of your choice or BCPs. >> >>>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? > >-- >"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) > -- art fougner, md ich bin ein New Yorker Next message: art fougner, md: "Re: Bush's Remarks Today on Malpractice" Previous message: Efrain Ramirez: "Re: DUB treatment (2)" In reply to: Efrain Ramirez: "Re: DUB treatment (2)" Next in thread: Efrain Ramirez: "Re: DUB treatment (2)" Reply: Efrain Ramirez: "Re: DUB treatment (2)"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Fri May 2 04:37:39 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.