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Re: Endometrial hyperplasia From: dmecnm@aol.com Tue Jul 26 16:45:46 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: RModugno@aol.com: "Re: Endometrial hyperplasia" Previous message: Efrain Ramirez: "Re: Endometrial hyperplasia" In reply to: Henry Gregor: "Re: Endometrial hyperplasia" Next in thread: Deborah Syden: "Re: OB-GYN-L digest 4037" Reply: Deborah Syden: "Re: OB-GYN-L digest 4037" Dr. Gregor, Mirena has a program where women with "need" can get their Mirena for free or for a very reduced cost. I think you just need to contact them, possibly through their website, to get more information about this program. This way the only cost to her is for insertion. Denise, CNM So Cal -----Original Message----- From: Henry Gregor <henrygregor@yahoo.com> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> Sent: Tue, 26 Jul 2005 11:56:24 -0500 Subject: Re: Endometrial hyperplasia Thanks. I suspect the limitation here would be getting coverage for the IUS for this indication. That would be very important for the patient, as she is the main caregiver for a forty years plus son with developmental abnormalities keeping in very dependent status. Hank benjamin sharp <sharp_benjamint@hotmail.com> wrote: In the UK we are trying levonorgestrel releasing intrauterine system for this with good tolerance, avoiding the systemic effeects that other delivery systems give. If, at rescan, 4/12 later the endometrium is thinned down to less than 5mm( as is usually the case),there is no requirement for resampling. If it is greater than 5mm you could use a pipelle with the IUS in situ - still get a good sample. >From: henrygregor@yahoo.com (Hank Gregor) >Reply-To: ob-gyn-l@obgyn.net >To: Multiple recipients of list OB-GYN-L >Subject: Endometrial hyperplasia >Date: Tue, 26 Jul 2005 10:32:29 -0500 > >I have a 68 yo patient who presented with postmenopausal bleeding, with >a large endocervical polyp. Clinical includes several years of E/P HRT. >She stopped the P at the time of the WHI out o! f concern re the prempro >reports. Unfortunately, she kept on with E alone these last several >years. > >At hysto d&c a benign endocx polyp was removed, an abundant amount of >endometrial tissue was sampled, with a complex adenomatous hyperplasia, >w/o atypia being read on final path. > >I propose to treat for endometrial regression, with sustained >progesteron alone, and interval followup sampling. Any comments re >choice of P, either micronized or synthetic (?Megace?) and dosage? > >Thanks, > >Hank >Gregor > Start your day with Yahoo! - make it your home page Next message: RModugno@aol.com: "Re: Endometrial hyperplasia" Previous message: Efrain Ramirez: "Re: Endometrial hyperplasia" In reply to: Henry Gregor: "Re: Endometrial hyperplasia" Next in thread: Deborah Syden: "Re: OB-GYN-L digest 4037" Reply: Deborah Syden: "Re: OB-GYN-L digest 4037"

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