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Re: Bleeding on HRT. From: Dr. Rupak Ranjan Roy (rupakroy@vsnl.com) Mon Jan 29 08:05:49 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "GEN: Fewer Mammograms in Your Future?" Previous message: Richard Chudacoff, MD: "Re: Lunelle" Maybe in reply to: Alexandra Borisova: "Bleeding on HRT." Next in thread: Richard Chudacoff, MD: "A good deed" I would be tempted to do a hysteroscopy and curettage. Also, if she was not bleeding on a cyclical regime, why don`t you put her on a continuous regime? -- Rupak Ranjan Roy MRCOG >----- Original Message ----- From: "Alexandra Borisova" <alexandra.borisova@internationalsos.com> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@forum.obgyn.net> Sent: 29 January 2001 15:39 Subject: Bleeding on HRT. > Dear collegues! > I have a patient I would like your opinion about. > 53 y.o. menopausal woman who is on cyclic regimen of HRT > for 5 years without mensis reaction during 7-day pill-free interval. > Recently she's had an episode of scanty vaginal bloody discharge for 3 > days started on 3 day of her pill-free interval. > TVUS showed small uterus with multiple small myoma nodes, endometrial > thickness - 0.2 cm, ovaries were not seen. > Pap-test - WNL. > I explained patient that her symptoms might have caused by endometrial > atrophy and recommended go on with HRT she's been taking. > But my Russian collegues think she needed hysterocopy+D&C in spite of > thin endometrium on US. The same opinion I met in some scientific > articles about management of bleeding on HRT. > What do you think about this case? > Thanks > > -- > Alexandra Borisova, MD > International SOS Clinic > Russia, Moscow > Next message: art fougner, md: "GEN: Fewer Mammograms in Your Future?" Previous message: Richard Chudacoff, MD: "Re: Lunelle" Maybe in reply to: Alexandra Borisova: "Bleeding on HRT." Next in thread: Richard Chudacoff, MD: "A good deed"

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