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Re: What now?From: ainsron@sbcglobal.netThu Apr 4 18:27:33 2002
That is not what you said. You said she wants to maintain child-bearing, not that she is actively trying. And if that is the case, why would you consider ablation, it certainly is not a temporary answer. I agree with the other listers, prior to doing anything treatment-wise, evaluation should be done. At a minimum, transvaginal ultrasound with biopsy if endometrial thickening. She may simply have a fibroid or a polyp, and resection could cure the problem and still allow her to keep her pregnancy options open. At Thu, 4 Apr 2002, Richard Chudacoff, MD wrote: > >But she wants pregnancy? > >-- >Richard Chudacoff, MD, FACOG > >-----Original Message----- >From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of >ainsron@sbcglobal.net >Sent: Thursday, April 04, 2002 4:15 PM >To: Multiple recipients of list OB-GYN-L >Subject: Re: What now? > >Consider Levonorgestrel-containing IUD. > >>38 G0 w/20 yrs of profuse menomet, especially menorrhagia. w/mod severe >>pain. Hormonal therapy tried once and pt had severe side effects and >>refuses any more hormone trials. Wants to preserve childbearing +/- >>She has never had any real tx nor investigation for it by old gyn. D/C, >>laparoscopy, hysteroscopy and ablation planned as she makes up her mind >>re: children. High powered job and does want what she needs all at >>once. >> >>Suggestions? >>Joe Stern >
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