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Re: Gyn: Submucous fibroid From: ainsron (ainsron@sbcglobal.net) Thu Mar 23 15:40:28 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: sdoesterling-obgyndotnet@yahoo.com: "Hyperpigmentation during pregnancy" Previous message: l.glazerman@rcn.com: "Re: Gyn: Submucous fibroid" In reply to: l.glazerman@rcn.com: "Re: Gyn: Submucous fibroid" Next in thread: Efrain Ramirez: "Re: Gyn: Submucous fibroid" Agree, but she also needs to be aware that the success may be limited by not prepping the uterus first. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of l.glazerman@rcn.com Sent: Thursday, March 23, 2006 2:14 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Gyn: Submucous fibroid Garry: I think that as long as you're comfortable using a resectoscope, which you obviuosly are, since you're willing to tackle the fibroid, there's no reason to break out any of the global ablation devices in addition to the resectoscope. Do a myomectomy, then either rollerball or endomyometrial resection. >---- Original message ---- >Date: Thu, 23 Mar 2006 14:38:37 -0600 >From: garrys@mindspring.com (Garry E. Siegel, M.D.) >Subject: Gyn:  Submucous fibroid >To: Multiple recipients of list OB-GYN-L <ob-gyn- l@dns.obgyn.net> > >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: sdoesterling-obgyndotnet@yahoo.com: "Hyperpigmentation during pregnancy" Previous message: l.glazerman@rcn.com: "Re: Gyn: Submucous fibroid" In reply to: l.glazerman@rcn.com: "Re: Gyn: Submucous fibroid" Next in thread: Efrain Ramirez: "Re: Gyn: Submucous fibroid"

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