Re: Menorrhagia

From: ainsron@msn.com
Wed May 30 15:41:15 2001


Agree

>Surgical--Hyst, with BSO (she's 52!) offered/strongly recommended. The
>method, TAH, or LAVH, or LSH (lapscope supracervical) depends on
>individual assessment of the patient and your preference.
>
>Medical--if she is premenopausal (I assume that she is), you should be
>able to control her with DepoProvera, or Lupron, or the pill. She
>likely needs to be rendered amenorrheic while replacing iron, and once
>her Hgb. is corrected, controlled with one of the above medical
>methods, or surgery.
>
>All in all, my gut says to stop her bleeding short term, replace iron,
>and then do the hyst.
>
>Garry
>
>--
>Garry E. Siegel, M.D., F.A.C.O.G.
>Roswell, GA
>Private Practice
>

--
Ronald E. Ainsworth, MD




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