|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: DUB treatmentFrom: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Wed Jan 21 15:47:23 2004
At Wed, 21 Jan 2004, Surasak wrote: > >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? 1.)Endometrial biopsy, should show proliferative endometrium. 2. 2.5 cm fibroid, be serious this is nothing. Do thyroid function tests, glucose tolerance and prolactin if normal then put the patient on clomid, should concieve in 6-12 months. if does not concieve then do hystson,hystsalp or laproscopy which ever you prefer.
--
Take care, John
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Jul 2 04:36:34 2008 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.