|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Endometrial ImplantFrom: Diana Saari MD (guto0002@tc.umn.edu)Tue Jul 11 22:49:22 2006
35 yo Korean multip who presented with LLQ pain following C-Section x2 at another institution, waxing and waning with menstrual flow. Had been blown off by other MD's previous when studies found no mass. Entered her sub-q from the edge of her old Pfannenstiel and sure enough got a flow of old, dark appearing fluid when I tunneled up into the nodule. Pathology returned endometriosis. Removed as much of it as I could - it was part and parcel with the fascia to a degree - and cauterized as much as I could. She was delighted with the outcome and had pain relief for many months post. She then returned with renewed discomfort in the same local. The mass is 'back'. I put her on continuous OCP's after much convincing - she does not like to take pills! - and she's done fairly well, but returned today with an episode of more profound discomfort several days ago which has since resolved. She says that she did not miss any pills. She wants DEFINITIVE therapy, "like LASER"! We talked about changing OCP's or trying a course of Lupron. Any other thoughts?
-- Diana Saari MD FACOG guto0002@tc.umn.edu University Specialists in Women's Health Minneapolis, MN
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Tue Dec 2 04:51:08 2008 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.