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Re: DUB treatment From: art fougner, md (evsono@pipeline.com) Wed Jan 21 11:13:51 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: RModugno@aol.com: "Re: Sexual medicine aid?" Previous message: Terrence.Jones@kp.org: "Re: Question: fosamax and calcitonin at the same time" would perform a sonohysterogram to further evaluate the "endometrial thickening" - if polyp or intracavitary fibroid - removal should take care of the problem. if a global thickening - then ocp's should suffice. is the tsh nl? any evidence of bleeding disorder? art At Wed, 21 Jan 2004, Braun, R. Daniel wrote: > >OCP's for 3 months unless she is a PCOS, then endo bx first followed by >OCP's if no hyperplasia on biopsy. > >Dan > >-----Original Message----- >From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of >Surasak >Sent: Wednesday, January 21, 2004 3:50 AM >To: Multiple recipients of list OB-GYN-L >Subject: DUB treatment > >33 yo married women with 3 months of DUB and no medical therapy. Plan >to conceive. > >Pelvic U/S Findings: >The uterus is not enlarged measuring 8.7 cm in lenght. There is a 2.5 cm >fibroid in the anterior aspect of the uterine body. The endometrium was >very thickened measruing 3 cm. > >Both ovaries were normal with no adnexal masses. There is a small >amount of fluid in the cul-de-sac, probably physiologic in nature. > >Impression: >1) Thickened endometrial echo complex. Differential diagonosis includes >endometrial hyperplasia, endometrial polyp/polyps, submucosal fibroid >and endometrial carcinoma. >2) 2.5 cm fibroid. > >What is an appropriate treatment of choice, D&C plus hysterscope, or >hormonal therapy plus follow-up? > >How to keep her fertility without bleeding? -- art fougner, md ich bin ein New Yorker Next message: RModugno@aol.com: "Re: Sexual medicine aid?" Previous message: Terrence.Jones@kp.org: "Re: Question: fosamax and calcitonin at the same time"

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