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Re: Gyn: Postmenopausal bleeding From: Andrew Folley (agfolley@hotmail.com) Fri Dec 30 08:35:10 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: GA12L@aol.com: "Re: Cesarean on Demand" Previous message: Richard Chudacoff, MD: "Re: Cesarean on Demand" In reply to: Garry E. Siegel, M.D.: "Gyn: Postmenopausal bleeding" The question is "have you adequately assessed and diagnosed the cause of the postmenopausal bleeding?" I would say that you have and no fruterh diagnosistic studies are necesssary. Stopping the estrogen would be appropriate or adding combination therapy if she needs it for symptoms. I would go to D&C with hysteroscopic evaluation only if bleeding persists. andrew >From: garrys@mindspring.com (Garry E. Siegel, M.D.) >Reply-To: ob-gyn-l@obgyn.net >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >Subject: Gyn: Postmenopausal bleeding >Date: Wed, 28 Dec 2005 18:25:38 -0600 > >74 YO on unopposed estogen (despite our protestations) presents with >postmenopausal bleeding. > >Her exam is unremarkable, and the biopsy shows proliferative endometrium >with stromal and glandular breakdown. > >She stopped estrogen once the bleeding started and will not resume. > >Would you: > >1. Do and D and C/hysteroscopy to further define and exclude >malignancy? >2. Give a short course of a Progestin (Provera 10 mg. for 10 days)? >3. Do nothing and see what happens? >4. Other? > >Garry > >-- >Garry E. Siegel, M.D. >Private Practice >Roswell, GA Next message: GA12L@aol.com: "Re: Cesarean on Demand" Previous message: Richard Chudacoff, MD: "Re: Cesarean on Demand" In reply to: Garry E. Siegel, M.D.: "Gyn: Postmenopausal bleeding"

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