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Re: DUB treatmentFrom: RModugno@aol.comFri Jan 23 21:06:08 2004
In a message dated 1/21/2004 5:48:44 PM Eastern Standard Time, johnprov@sympatico.ca writes: 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? Not sure why you call this "DUB" with a 3cm endometrium - should probably have a sonohysterogram to better define any problem in the endometrial cavity. My 2 cents. Robert Modugno MD MBA FACOG Marietta, GA http://www.novaobgyn.yourmd.com
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