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Re: Gyn: Submucous fibroid From: sdoesterling-obgyndotnet@yahoo.com Thu Mar 23 13:54:59 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Myer S. Bornstein: "Re: Submucous fibroid" Previous message: Garry E. Siegel, M.D.: "Gyn: Submucous fibroid" In reply to: Garry E. Siegel, M.D.: "Gyn: Submucous fibroid" Next in thread: Myer S. Bornstein: "Re: Submucous fibroid" I'd offer Mirena, but wouldn't push it with the obvious pathology. An office biopsy might prevent any OR surprises. I'd give her 1 month of Lupron and then resect and ablate with the hysterscope - but at my county hospital, that's what I have. Some more sophisticated practices may be able to tell you which abaltion techniques can be done in the presence of fibroids. Scott Osterling --- "Garry E. Siegel, M.D." <garrys@mindspring.com> wrote: > 46 YO P3003 seen in 12/05 after an absence with iron > deficiency anemia > (Hematocrit around 30 by the Internist) and a > complaint of menorrhagia, > and a newer complaint of hypermenorrhea and > menorrhagia, i.e. 2 > cycles/month. > > She has a normal examination, and the endometrial > biopsy showed > proliferative endometrium with a suggestion of a > polyp. > > The saline sonogram showed a 9 X 6 X 5 mm. area > suspicious for a polyp, > and a 3 cm. fibroid that was submucous and > protruded into the > endometrial cavity. > > I am contemplating a hysteroscopy/resection of the > fibroid, as well as > assessing and removing the polyp. > > Medical management options such as the > Pill/Lupron/DepoProvera are not > really her cup of tea, and she is on > anti-hypertensives, so I'm > reluctant to initiate combination OCPs at age 46. > > I also am contemplating a concurrent ablation. > > If you agree with an ablation, how would you > accomplish both? > --old fashioned way, i.e. resectoscope/rollerball > --resect fibroid with resectoscope, then global > technique? > > Garry > > -- > Garry E. Siegel, M.D. > Private Practice > Roswell, GA > Next message: Myer S. Bornstein: "Re: Submucous fibroid" Previous message: Garry E. Siegel, M.D.: "Gyn: Submucous fibroid" In reply to: Garry E. Siegel, M.D.: "Gyn: Submucous fibroid" Next in thread: Myer S. Bornstein: "Re: Submucous fibroid"

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