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Re: dilated ovarian veins From: art fougner, md (evsono@pipeline.com) Thu Apr 5 08:39:09 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Gibbons, John: "Re: dilated ovarian veins" Previous message: art fougner, md: "Re: ultrasound diagnosis of abruption" In reply to: Griffiths Malcolm: "Re: dilated ovarian veins" Next in thread: John Robertson MD: "Re: dilated ovarian veins" Malcolm - progestins often produce side effects which are less well tolerated than the purported "pelvic congestion." i guess that's a method of triage - if the drug effect is worse than the complaint - then the illness wasn't such a big deal after all. art At Thu, 5 Apr 2001, Griffiths Malcolm wrote: > >That's a big dose I give Provera 30mg a day only. My understanding of the >pharmacokinetics is that it is unnecessary to give divided doses. In fact >what you are aiming for is blocking ovarian activity. You can sometimes >titrate the dose upwards or downwards in case either it doesn't block >ovarian activity or there are side-effect problems. > >-----Original Message----- >From: islesannie@yahoo.com [mailto:islesannie@yahoo.com] >Sent: 05 April 2001 03:02 >To: Multiple recipients of list OB-GYN-L >Subject: Re: dilated ovarian veins > >Next question, John, which progestin do you prefer and in what dose for >how long? > >Provera 20mg qd X 6 months? > >Joanne > >At Wed, 4 Apr 2001, Gibbons, John wrote: >> >> The presumptive diagnosis is " Pelvic Congestion Syndrome." The >>dilated vessels can be demonstrated on MRI very elegantly. High dose >>progestins relieve the pain in these patients, so a trial is diagnostic. >>Other treatments include radiologic embolization, and, if all else fails, >>hysterectomy with adnexectomy. >> >> John Gibbons > >-- >Joanne Bulley, MD, FACOG >Keene, NH, USA > -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: Gibbons, John: "Re: dilated ovarian veins" Previous message: art fougner, md: "Re: ultrasound diagnosis of abruption" In reply to: Griffiths Malcolm: "Re: dilated ovarian veins" Next in thread: John Robertson MD: "Re: dilated ovarian veins"

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