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Re: CounselingFrom: Lynn D. Montgomery, M.D. (apgar10@montanadsl.net)Fri Oct 10 10:49:08 2003
I agree with Dan. I would leave it alone until postpartum. No reason to terminate unless reasons beyond the adnexal mass. Lynn Left ovarian cystectomy at 3 months postpartum. If you are too nervous to wait that long, left ovarian cystectomy at 20 weeks gestation. This is no indication for a TOP. If she wants TOP for other reasons, then do that and do the left ovarian cystectomy at same time or 6 weeks later. Dan -----Original Message----- From: Efrain Ramirez [mailto:eramirezt@coqui.net] Sent: Thursday, October 09, 2003 9:59 PM To: Multiple recipients of list OB-GYN-L Subject: Counseling 20 some year-old GI P 0, 9-10 weeks - left adnexal mass about 6.5 x 6.5 cms - sonographically looks like an endometrioma - (could be a dermoid) Ca 125 = 37 - (nv up to 35) Hx of right oophorectomy when 2 months old - don't know path - at first she asked for TOP - but then not sure - cried -inquired about alternatives, choices, how to proceed - - boyfriend definitively wants termination - what would be your approach in counseling her - and her boyfriend?
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