Re: Gyn: Menorrhagia in a patient with a uterus didephys
From: art fougner, md (evsono@pipeline.com)
Tue Nov 14 08:09:49 2006
I would think the Mirena is sufficiently small to not be a problem.
Uterus didelphys is thought not to preclude normal pregnancy.
Of course, I could be wrong.
Art
At Tue, 14 Nov 2006, Garry E. Siegel, M.D. wrote:
>
>And how would it fit, i.e. could both arms expand?
>
>Garry
>
>At Tue, 14 Nov 2006, art fougner, md wrote:
>>
>>Question: would a Mirena in one cavity yield sufficient levonorgestrel
>>to deal with both endometria?
>>
>>Art
>>
>>At Mon, 13 Nov 2006, Garry E. Siegel, M.D. wrote:
>>>
>>>Appreciate the reminder.
>>>
>>>Garry
>>>
>>>At Mon, 13 Nov 2006, R. Daniel Braun wrote:
>>>>
>>>>Remember to look at both cavities if you have to hysteroscope her.
>>>>
>>>>Ref.
>>>>
>>>>Braun, RD; Uterus didelphys with Endometrial cancer; Obstet & Gynecology Pg
>>>>51, Jan 1971 I don't remember the volume number.
>>>>My FIRST publication.
>>>>
>>>>Dan
>>>>
>>>>On 11/13/06, Garry E. Siegel, M.D. <garrys@mindspring.com> wrote:
>>>>>
>>>>> 40 YO P2103, 6 weeks from a repeat C/S-TL, with a history of menorrhagia
>>>>> nicely treated with OCPs.
>>>>>
>>>>> She is wondering about long term treatment for menorrhagia, should it
>>>>> return? Specifically, she asked about ablation.
>>>>>
>>>>> My instinct is that she is not a candidate for global techniques due to
>>>>> the misshapeness of the cavities, and the potential thinness of the
>>>>> uterine walls. Then, maybe she could be done with a lapscope in, or do
>>>>> an old fashioned rollerball or resection.
>>>>>
>>>>> Any thoughts?
>>>>>
>>>>> Garry
>>>>>
>>>>> --
>>>>> Garry E. Siegel, M.D.
>>>>> Private Practice
>>>>> Roswell, GA
>>>>>
>>>>--
>>>>R. Daniel Braun
>>>>
>>>> "The way to health is an aromatic bath and scented massage everyday".
>>>> Hippocrates
>>>>
>>>--
>>>Garry E. Siegel, M.D.
>>>Private Practice
>>>Roswell, GA
>>>
>>--
>>art fougner, md
>>"May The Wings of Liberty Never Lose a Feather." - Jack Burton
>>
>--
>Garry E. Siegel, M.D.
>Private Practice
>Roswell, GA
>
--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton
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