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Re: Ovarian Conservation From: Efrain Ramirez (eramirezt@coqui.net) Fri Aug 5 18:20:41 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Anna Meenan, MD: "Re: Postdates,Neonatal Death" Previous message: art fougner, md: "Re: Ovarian Conservation" In reply to: art fougner, md: "Re: Ovarian Conservation" Next in thread: Garry E. Siegel, M.D.: "Re: Ovarian Conservation" Reply: Garry E. Siegel, M.D.: "Re: Ovarian Conservation" Absolutely Art.. or the one you removed at 45 and started her on HRT then at 50 she developed DVT and PE..and around that time her mother is diagnosed with Breast Ca.. I have an honest talk with my patients about this subject - I try not to be judgemental/dogmatic about it .. I bring to them your concerns of course..have a nice weekend..I am on call..so.. > At Fri, 5 Aug 2005, art fougner, md wrote: > >wait til your first patient with ovarian ca whose ovaries were conserved >at hysterectomy for benign disease ... also, you also have to look >critically at family histories on both sides. with BRCA 1 or 2 >mutations or with Lynch families, ovarian conservation may be the wrong >move. > >art > >At Fri, 5 Aug 2005, Efrain Ramirez wrote: >> >>This subject will keep changing forever.. family history, patient past >>history, patient wishes... and of course EMB will decide in each >>particular case.. I have changed positions about many things in Ob-Gyn >>-- I used to think that 45 was a good "age" to start doing it - but >>since a few years now I have pushed to 50? - and who knows we will learn >>someday that removing them at any age was not a good idea at all - or >>maybe a "perfect" HRT pill is discovered and ... >> >>>At Fri, 5 Aug 2005, Dr. Ainsworth wrote: >>> >>>What do you think of the article in the August Green Journal by Parker, >>>et. al. (USC) recommending that in women with benign disease, ovaries >>>should be conserved until at least age 65? I have always used age 45 was >>>the crossing point for the risk benefit curve. Sounds like I was way >>>off.. >> >>-- >>"Character may be manifested in the great moments, but it is made in the >>small ones." >> >> - Phillip Brooks >> >> ~walt whitman~ >> >-- >art fougner, md > > "If you don't know where you are going, you will wind up somewhere else." >Lawrence Peter Berra > -- "Character may be manifested in the great moments, but it is made in the small ones." - Phillip Brooks ~walt whitman~ Next message: Anna Meenan, MD: "Re: Postdates,Neonatal Death" Previous message: art fougner, md: "Re: Ovarian Conservation" In reply to: art fougner, md: "Re: Ovarian Conservation" Next in thread: Garry E. Siegel, M.D.: "Re: Ovarian Conservation" Reply: Garry E. Siegel, M.D.: "Re: Ovarian Conservation"

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