Adenomyoma/Adenomyosis

From: Joanne Bulley, MD (jbulley@cheshire.net)
Sat Jun 17 15:33:04 2000


My experience with adenomyosis - is in patients with no disease by L/S who gets Lupron as an empiric treatment, or the patient with endometriosis that is resected followed by Lupron - if the pain returns shortly after the end of the Lupron (usually within 1-3 cycles) - then the path on the uterus is adenomyosis.

So ... recurrence of symptoms soon after Lupron is indicative of adenomyosis. I would expect an adenomyoma to behave the same, biologically.

Joanne

At Sat, 17 Jun 2000, Harrison Sheld wrote: >
>In my experience (N=1) Lupron does not affect adenomyomas. The one case I had,
>the patient had multiple myomas which shrank over a period of 6 months but then
>the uterus grew and grew and grew. (We were using Premarin 0.625 add back). At
>LAVH she had a large posterior wall adenomyoma. May be just coincidence.

--
Joanne Bulley, MD
Keene, NH, USA




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