Re: menorrhagia and a St. Jude's Valve

From: art fougner, md (evsono@pipeline.com)
Fri Jul 12 07:13:37 2002


might want to direct some attention to that valve - possibly a replacement is in order?

art

At Thu, 11 Jul 2002, Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. wrote: >
>At Thu, 11 Jul 2002, Richard Chudacoff, MD wrote:
>>
>>31 yo G1 P1, with a leaky St. Jude’s valve for congenital AS. Has torrential
>>flooding and severe cramps with each cycle. Told she cannot use OCPs by her
>>cardiologist. I thought the Mirena would be a great option, except for the
>>persistent foreign body. I’ve had problems with pulmonologist in the past
>>when using Depo-Provera or oral Provera, because of the PDR statement
>>regarding thromboembolism, and I’ll bet the cardiologists say the same. She
>>is not opposed to endometrial ablation or hysterectomy, but the post-op
>>bleeding and inter-operative care could be a hassle. So, does anyone have
>>any suggestions?
>>
>>--
>>Richard Chudacoff, MD, FACOG
>>Chudacoff Obstetrics & Gynecology, PLLC
>>
>>15200 Southwest Freeway, #270
>>Sugar Land, TX 77478
>>Tel: 281-277-3900
>>Fax: 281-277-3901
>>
>>rchudacoff@mylinuxisp.com <mailto:rchudacoff@mylinuxisp.com>
>>Richard.Chudacoff@obgyn.net
>>
>>http://www.mdhub.com/281-277-3900
>>http://www.chudacoffobgyn.yourmd.com
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>>
>Endometrial abalation, she would probably be a good case for the

>newer forms of ballon abalation that don't require significant amounts
>of glycine or other irigation fluids, if you use the traditional cautery
>based abalation hopefully she has a virgin abdomen and nothing is stuck
>to the
>uterus.
>
>--
> Take care, John
>

--
art fougner, md
ich bin ein New Yorker




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