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Re: Leaving ovaries behind during hyst for endometriosis?From: Garry Siegel (garrys@mindspring.com)Sun Mar 31 20:07:19 2002
At Sun, 31 Mar 2002, Joanne Bulley, MD wrote: > >Like Mark - the "one size fits all" answer is that (most of the time) I >take them out. Then institute combination HRT immediately. > >But then - like Joe - I do tailor it to the individual and the pre-op >discussion. Ovarian removal or retention is dictated by the patieint's preop wishes/age/discussion, and the intraop findings (with various scenarios having been discussed). If the patient wishes to have HRT, then I start estrogen alone immediately. My partner starts progestin only for a few months. Why are you guys using continuous combined therapy? Is it to give the progestin to "balance" the estrogen? Garry
-- Garry E. Siegel, M.D., F.A.C.O.G. Roswell, GA Private Practice
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