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DUB treatment (2)From: Surasak Youngpairoj (moph00@hotmail.com)Tue Jan 27 21:57:03 2004
More info: Menarche 15 yo. Usually irregular period, obviously related to stress. Spotting every day for last 3 mo. TSH 1.8, FSH 5.9, PRL 8, CHL neg, GL neg Let me put the question this way. Does D&C indicate in this case? Thanks, Surasak ----Original Message Follows---- From: Surasak <moph00@hotmail.com> Reply-To: ob-gyn-l@obgyn.net To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> Subject: DUB treatment Date: Wed, 21 Jan 2004 02:49:20 -0600 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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