Re: endometrioma sclerotherapy
From: R. Daniel Braun (rd.braun@gmail.com)
Mon Mar 21 15:24:02 2005
Never used it for endometriosis. Have used it intrathoracic for
recurrent plural effusins due to endometrial carcinoma. Long time ago.
On Mon, 21 Mar 2005 15:41:50 -0600, art fougner, md <evsono@pipeline.com> wrote:
> No personal experience - here's an abstract that may be useful -
>
> Int J Gynaecol Obstet. 1997 Oct;59(1):31-4.
> Sclerotherapy--an adjuvant therapy to endometriosis.
>
> Chang CC, Lee HF, Tsai HD, Lo HY.
>
> Department of Obstetrics and Gynecology, China Medical College Hospital,
> Taiwan.
>
> OBJECTIVE: Recurrent endometriomas after medical or surgical treatment
> is a difficult clinical problem for those patients who wish to perform
> ovulation induction. Therefore we tried to investigate the efficacy of
> sclerotherapy as an adjuvant management before ovulation induction to
> preserve more ovarian tissue for folliculogenesis in ART program.
> METHODS: Thirty-two patients with persistent or recurrent endometrioma
> after surgical or medical treatment were included in this study.
> Transvaginal ultrasound needle guided aspiration of the cyst followed by
> tetracycline instillation was performed before ovulation induction.
> RESULTS: There is an encouraging clinical pregnancy rate of 34.37%.
> Also, there is a disappointing recurrent rate of 46.87% in 12 months
> follow-up course. CONCLUSION: The increased interest in cost-effective
> outpatient therapy and the expected difficulty in surgical treatment of
> recurrent endometriomas made aspiration and sclerotherapy of
> endometrioma an attractive option before ovulation induction.
>
> art
>
> At Mon, 21 Mar 2005, Richard Chudacoff, MD wrote:
> >
> >A patient asked me about this technique of injecting tetracycline in to
> >'washed out' endometriomas. Does anyone have experience with this
> >technique?
> >
> >--
> >Richard Chudacoff, MD, FACOG
> >
> >Women's Specialist of Houston
> >
> >6244 Fannin Suite 1800
> >
> >Houston, TX, 77030
> >
> >713-797-1144
> >
> >713-425-3071
> >
> >Women's Wellness Center at
> >
> >Chudacoff OB & GYN, PA
> >
> >15200 Soutwest Freeway #270
> >
> >Sugar Land, TX 77478
> >
> >tel: 281-277-3900
> >
> >fax: 281-277-3901
> >
> >Email: Richard.Chudacoff@obgyn.net
> >
> > rchudacoff@mylinuxisp.com
> >
>
> --
> art fougner, md
>
> "If you don't know where you are going, you will wind up somewhere else."
> Lawrence Peter Berra
>
--
R. Daniel Braun
Kinky for Governor
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