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Re: Endometrial hyperplasiaFrom: Henry Gregor (henrygregor@yahoo.com)Tue Jul 26 14:00:33 2005
Good choice, however she has a forty plus son who functions at 3-4 year old level, for whom she is primary caregiver, hx which I didn't give. Though, absent atypia demonstrated on a very thorough multiple pass curettage, assessed hyspteroscopically pre and post curettage, I would think progesterone reasonable under other circumstances as well. Hank "R. Daniel Braun" <rd.braun@gmail.com> wrote: Vaginal Hyst????? Dan On 7/26/05, Hank Gregor <henrygregor@yahoo.com> wrote: I have a 68 yo patient who presented with postmenopausal bleeding, with a large endocervical polyp. Clinical includes several years of E/P HRT. She stopped the P at the time of the WHI out of concern re the prempro reports. Unfortunately, she kept on with E alone these last several years. At hysto d&c a benign endocx polyp was removed, an abundant amount of endometrial tissue was sampled, with a complex adenomatous hyperplasia, w/o atypia being read on final path. I propose to treat for endometrial regression, with sustained progesteron alone, and interval followup sampling. Any comments re choice of P, either micronized or synthetic (?Megace?) and dosage? Thanks, Hank Gregor
--
R. Daniel Braun
Kinky for Governor
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