|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Odd premature ovarian failureFrom: Lynn Montgomery (apgar10@qwest.net)Tue Oct 31 06:34:01 2006
Listers, Have a case for which I would like some input; 42 y.o. female, who, at the age of 38, while training for a triathlon, developed amenorrhea, but no other symptoms (i.e. vasomotor, etc). Percent body fat was never below 19%. Apparently, an FSH was checked, was elevated and hormone replacement begun. I know, straight forward premature ovarian failure. Over the course of the four years since, various practitioners (for reasons that are unclear) have looked at her ovaries and she has been noted to have simple ovarian cysts, reaching approximately 2 cm in size - by all appearances, consistent with follicles. When she initially presented to me 4 months ago, the ovaries appeared normal, without cysts. Knowing that folks occasionally go in and out of the menopause, I suggested stopping the hormone replacement for a while (3 months in this case) and checking an FSH, which returned at 127. I restarted her hormone replacement. Yesterday, she came in for her annual exam and was concerned regarding her ovarian cysts. I looked and sure enough, she has a 2.7 cm simple appearing cyst on one of her ovaries. My questions are: 1. Why do these apparently hormonally non-functional ovaries continue to produce cysts. 2. Would anybody follow her more closely with regard to the concern for developing a neoplasm, i.e. CA125 (hate to go there), 6 month follow with ultrasound. One provider has already recommended TAH/BSO. Lynn P.S. She is a physician's wife - of course.
|
|
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 04:54:36 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.