Re: PMB on coumadin

From: Meenan, Anna (annam@uic.edu)
Fri Apr 27 18:10:15 2007


>INR of 2.3 a little high? Last I knew, target INR for a valve is 2.5-3.5.

Anna Meenan, MD

>

>INR of 2.3 sounds a litlle high, agree with sampling,hopefully strip
>thickness is mostly bloody tissue, if sampling is negative for
>hyperplasia with aytpia she wood be a good candidate for mirena. I have
>about a half dozen patients like this who are on coumadin for multiple
>conditions like anti-phospholipid syndrome with previous pulmonary
>emboli, and artificial heart valves; continious provera, depo-provera
>and mirena all work pretty good. They may still have some bleeding but
>usually not enough to drop thier hemoglobin. Obviously endometrial
>abalative technique of your choice is also an option.
>
>--
> Take care, John





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