-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: hyperplasia and endometrial ablation From: Larry Glazerman (l.glazerman@rcn.com) Sat Nov 27 20:07:32 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: GIN11153@aol.com: "Re: CNM Cases" Previous message: Lyndon Taylor: "Re: CNM Cases" In reply to: RModugno@aol.com: "Re: hyperplasia and endometrial ablation" Next in thread: Joanne Bulley, MD: "Re: hyperplasia and endometrial ablation" Reply: Joanne Bulley, MD: "Re: hyperplasia and endometrial ablation" I've done a lot of ablations, and taught ablation at numerous postgraduate courses. I have mixed feelings on this issue. Initially, when ablation was first developed (anyone remember the Nd:YAG laser?), ANY hyperplasia was considered a contraindication. This was because of the presumption that ablation would cause an Asherman's syndrome, and a possible carcinoma that developed might not be detected if it were in a "loculated" island of endometrium. The fact is that ablation generally does NOT cause an Ashermans. In addition, many believe that simple, non-atypical hyperplasia is a totally different bird than complex atypical hyperplasia, and that the former has virtually no risk of malignant transformation. I might judiciously ablate someone with simple hyperplasia, but I'd probably choose a resection. _____ From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of RModugno@aol.com Sent: Saturday, November 27, 2004 6:53 PM To: Multiple recipients of list OB-GYN-L Subject: Re: hyperplasia and endometrial ablation In a message dated 11/18/2004 6:07:30 PM Eastern Standard Time, johnprov@sympatico.ca writes: If she had true endometrial hyperplasia then there is a good chance the abalation will fail. I would put here on provera 10 mg Q daily X 3 months and then just do on office sampling. The sample should show atrophic or sectretory endodometrium. If atrophic I would just tell her to return for future sampling with and irregular bleeding. If secretory I would tell her the hyperplasia is gone but the abalation will most likely not stop her menses though hopefully they will be lighter. -- Take care, John John - do you have any evidence that simple hyperplasia without atypia will not respond to endometrial ablation? Robert Modugno MD MBA FACOG marietta, GA http://www.novaobgyn.yourmd.com Next message: GIN11153@aol.com: "Re: CNM Cases" Previous message: Lyndon Taylor: "Re: CNM Cases" In reply to: RModugno@aol.com: "Re: hyperplasia and endometrial ablation" Next in thread: Joanne Bulley, MD: "Re: hyperplasia and endometrial ablation" Reply: Joanne Bulley, MD: "Re: hyperplasia and endometrial ablation"

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: Tue Sep 2 05:02:08 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.