-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: Fibroids/endometriosis/adenomyosis From: Garry E. Siegel, M.D. (garrys@mindspring.com) Thu Apr 7 10:21:41 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Andrew Folley: "Re: 34 week prom" Previous message: Garry E. Siegel, M.D.: "Re: Fibroids/endometriosis/adenomyosis" In reply to: Richard Chudacoff, MD: "Re: Fibroids/endometriosis/adenomyosis" Next in thread: Richard Chudacoff, MD: "Re: Fibroids/endometriosis/adenomyosis" Reply: Richard Chudacoff, MD: "Re: Fibroids/endometriosis/adenomyosis" Mirena after an ablation? LSH after a LEEP for dysplasia? If she comes to hyst, I would remove the cervix. Garry At Thu, 7 Apr 2005, Richard Chudacoff, MD wrote: > >Mirena, although I favor LSH > >-- >Richard Chudacoff, MD > >-----Original Message----- >From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. >Siegel, M.D. >Sent: Wednesday, April 06, 2005 8:39 PM >To: Multiple recipients of list OB-GYN-L >Subject: Gyn: Fibroids/endometriosis/adenomyosis > >49 YO P2102 with: > >known fibroids--4 cm intramural/subserosal one seen at lapscope a few >years ago, still seen on scan and felt on exam > >Stage 2 endometriosis from same lapscope, excised totally > >S/P endometrial ablation for menorrhagia, done concurrently with >lapscope. No fibroids in the cavity > >Also germane is that she has had a LEEP subsequent to the above for CIN2 >(clear margins) with adenomyosis. > >Lastly, in college, she had a traumatic DVT and never has been on the >pill. > >She was seen in December with worsening menometrorrhagia and pelvic >pain, and placed on Lupron. She has become amenorrheic, has no pain, >and says her abdomen is smaller (clinically she is around 8 weeks size >today, no real change). > >She is very troubled by hot flashes. > >Options I've kicked around: > >1. Increasing her Zoloft dose (already on 100 mg/day). >2. Adding a progestin (which one? dose?). >3. Add low dose combination estrogen/progestin therapy (remember the >DVT); if this is considered, might thrombophilia testing be in order? >4. Of course, LAVH-BSO, but for the sake of discussion, let's stick to >non-surgical options for now. > >Garry > >-- >Garry E. Siegel, M.D. >Private Practice >Roswell, GA > -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Andrew Folley: "Re: 34 week prom" Previous message: Garry E. Siegel, M.D.: "Re: Fibroids/endometriosis/adenomyosis" In reply to: Richard Chudacoff, MD: "Re: Fibroids/endometriosis/adenomyosis" Next in thread: Richard Chudacoff, MD: "Re: Fibroids/endometriosis/adenomyosis" Reply: Richard Chudacoff, MD: "Re: Fibroids/endometriosis/adenomyosis"

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: Thu Oct 2 04:48:13 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.