Re: Leaving ovaries behind during hyst for endometriosis?

From: Bernard Cristalli (bcrist@club-internet.fr)
Sun Mar 31 21:30:11 2002


It depends on the spread of the disease. If there is nothing more than adenomyosis I leave the ovaries. If the disease is widely spread in the pelvis I remove them. Then I wait a while before instituting ert (estrogens only).

--
Bernard Cristalli MD AMACOG
AIHP - ACCA
Paris France
Bernard.Cristalli@CliniquedelEssonne.fr
http://www.CliniquedelEssonne.fr
http://www.obgyn.net/corresp/cristalli.htm
http://www.gyneweb.fr
'64 Mk2 3.8

> De : "Kevin D. Dew, MD" <kdew@bellsouth.net> > Répondre à : ob-gyn-l@obgyn.net > Date : Sun, 31 Mar 2002 17:45:12 -0600 > À : Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.medispecialty.com> > Objet : Leaving ovaries behind during hyst for endometriosis? > > What are folks doing? > > Leave them behind if they look normal, ignoring the possibility of > microscopic disease? > > Remove them and take the chance of playing "find the right hrt regimen?" > > If you remove the ovaries do you: > a) wait "a while" before instituting ert? > b) immediately institute ERT only? > c) immediately institute combined continuous hrt? > > Kevin D. Dew, MD > Bardstown, KY >





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