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Re: DUB treatmentFrom: Braun, R. Daniel (rbraun@iupui.edu)Wed Jan 21 05:58:01 2004
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?
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