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Re: NovasureFrom: Andrew Folley (agfolley@hotmail.com)Tue Jan 22 08:49:23 2008
Thanks for your 2 cents worth Joanne and the cost of the cytotec is only about 10 cents.
> Date: Sat, 19 Jan 2008 21:08:09 -0600> From: islesannie@gmail.com> To: ob-gyn-l@mail.obgyn.net> Subject: Re: Novasure> > As to Cytotec - I have used it for women in whom I have been unable to> do an endometrial biopsy in the office (despite the various options I> have for sounding and dilating the cervix)> > When I have them take the cytotec and then come to the office I have> always gotten in - whereas in the past I would have to decide if I> really want the histology enough to go to the OR. So - yes it is off> label and contrary to what we "so far" have for the EBM.> > But then there are a lot of things us with gray hair do that there is> not true EBM to cover -- there is an Art to what we do - the EBM AS WELL> AS years of experience together make us more than the sum of the parts.> > Just my $0.02 worth ... and I could be wrong.> > Joanne> > At Sat, 19 Jan 2008, Raymond Stephen wrote:> >> >The Microwave ablation is carried out using a rather large generator> >with a screen on the front showing the temperature of the probe, and the> >idea is to sweep the probe back and forth starting from the fundus and> >coming down in 1 cm steps to the internal os, keeping the temperature in> >the range marked on the screen. Still a bit early to evaluate our> >results, but the studies suggest it is as good as any other method of> >endometrial ablation, and simple to use. The probe is 8mm in diameter> >and is marked in centimetres of length.> >> >Andrew said he uses Cytotec for cervical softening. Is the evidence> >there for that? I have seen papers showing it doesn't do anything in> >the non-pregnant.> >> >Steve> > --> Joanne Bulley, MD, FACOG> Solo gyn> Keene, NH USA 08
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