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Re: Silly Question.... From: ainsron@msn.com Tue Oct 10 10:58:27 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ainsron@msn.com: "Re: Silly Question...." Previous message: ainsron@msn.com: "Re: Silly Question...." In reply to: Joanne Bulley: "Re: Silly Question...." Next in thread: Paul Prior MD: "Re: Silly Question...." I have several patients in the same situation and have found that Depo Provera works quite well. The parents request for a hysterectomy in these patients has usually been doubly pronged: they are concerned about hygeine and control of premenstrual symptoms, which are often seen as disabling in these already compromised patients, but also concerned about sexual predators taking advantage of them when they are out in the community and out of the normal control of their parents or other concerned care-givers >My GUESS is that the pediatrician and the Mom see no reason to manage >the menses with blood flow, cramps etc and do not want to have to worry >about pregnancy from molestation etc. Chronic >DepoMedroxyProgesteroneAcetate would suffice on all counts. I think I >would hesitate to do a hyst without more of a reason - like disabling >periods! > >Joanne At Mon, 9 Oct 2000, Antonio Valdez wrote: >> >>Dear listmembers >>Today I received a phone call from a patient with a question that I don't understand...Please help me.. >>She has a 11 years old chlid who start her menarche...she is handicaped with mental retardation and microcephaly...Her pediatrician neurologists suggest an hysterectomy? and 2 oppinions with other OB/GYN's suggest the same...She ask me to operate her daughter, but...why? If the purpose of the surgery is contraceptive I think a pomeroy is enought...but, is there another reason for an TAH in this child? I don't know...so, sorry for this silly question, but...can you help me to clarify this topic? >>Thank for your help >> >>-- >>Antonio Valdez-Torres MD FACOG >>Ciudad Juarez, Chihuahua MEXICO >> >-- >Joanne Bulley, MD, FACOG >Keene, NH, USA > >All decisions are made with insufficient data. > -- Ronald E. Ainsworth, MD Next message: ainsron@msn.com: "Re: Silly Question...." Previous message: ainsron@msn.com: "Re: Silly Question...." In reply to: Joanne Bulley: "Re: Silly Question...." Next in thread: Paul Prior MD: "Re: Silly Question...."

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