Re: 19mm endometrial stripe : follow up

From: Farouk Fikry (farouk2@menanet.net)
Sat Jan 15 05:28:11 2005


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> ----- Original Message -----
From: Henry Gregor To: Multiple recipients of list OB-GYN-L Sent: Sunday, January 02, 2005 11:10 PM Subject: Re: 19mm endometrial stripe : follow up

"art fougner, md" <evsono@pipeline.com> wrote: Regarding pipelle and polyps, Karadadas et al found -

"Standard endometrial sampling failed to detect almost half of the cases."

Clin Exp Obstet Gynecol. 2004;31(2):137-8.

art

Art, Not trying to get into dueling citations, but there are other citations in the literature reporting greatly increased correlation rates. My real point, though, is that for costs of about $3.75 for a pipelle, about the same for a paaracervical block, one might have confirmation of what would be the most controlling isssue, ie, malignancy. If results are indeterminate one could ratchet up the level of evaluation. I know in my locale, most folks lack adequate health insurance. Those with it have it only under the crazy quilt system our country has of linking insurance to employment, and insurance costs are one of the major reasons why my locale has had the highest umemployment rate in our state recently. The public coffers are already stretched ever so thin for ! Medicaid and Medicare, so any process that cuts to the chase diagnostically cheaply and quickly is worth trying, I think.

Hank

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