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Re: Endometrial hyperplasia From: Dr Moamar Aljefout (drmoamar@gmail.com) Wed Jul 27 06:58:04 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Deborah Syden: "Re: OB-GYN-L digest 4037" Previous message: Larry Glazerman: "Re: VBAC Informed consent" In reply to: Hank Gregor: "Endometrial hyperplasia" Next in thread: Jefferson Delfino: "Re: Endometrial hyperplasia" Dear Hank, I would suggest TAH for this pt, as the the age group and the type of hypeplasia have the risk of about 20% of progress to something nasty. On 7/27/05, 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 > Next message: Deborah Syden: "Re: OB-GYN-L digest 4037" Previous message: Larry Glazerman: "Re: VBAC Informed consent" In reply to: Hank Gregor: "Endometrial hyperplasia" Next in thread: Jefferson Delfino: "Re: Endometrial hyperplasia"

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