Gyn: Postmenopausal bleeding
From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Wed Dec 28 17:24:35 2005
74 YO on unopposed estogen (despite our protestations) presents with
postmenopausal bleeding.
Her exam is unremarkable, and the biopsy shows proliferative endometrium
with stromal and glandular breakdown.
She stopped estrogen once the bleeding started and will not resume.
Would you:
1. Do and D and C/hysteroscopy to further define and exclude
malignancy?
2. Give a short course of a Progestin (Provera 10 mg. for 10 days)?
3. Do nothing and see what happens?
4. Other?
Garry
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Garry E. Siegel, M.D.
Private Practice
Roswell, GA
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