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Re: Gyn: It's fun to be a gynecologist From: art fougner, md (evsono@pipeline.com) Thu Mar 20 06:42:16 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Gyn: It's fun to be a gynecologist" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Ob: It's fun to be an obstetrican" In reply to: FRANCES WREN: "Re: Vulvoplasty" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Gyn: It's fun to be a gynecologist" Not a candidate for Mirena? Why not? Art At Wed, 19 Mar 2008, Garry E. Siegel, M.D. wrote: > >42 YO P2012, long standing patient, first seen for missed Ab in 1992. >Ultrasound found uterine duplication. > >After D and C, underwent H-scope/L-scope with stage I endo and >bicornuate uterus. > >She has subsequently had two term children, the first by section >(breech) and the second was a repeat. > >In 2002, she had AUB and had an endometrial polyp removed by H-scope, as >well as an LTL and treatment for recurrent stage I endo. > >She now is having menometrorrhaghia. > >I will do an endo biopsy, and then have offered: > >Medical management with OCPs, DepoProvera, or Lupron. > >Mirena--not a candidate. > >Consideration of hysterectomy--not desired--due to possible adenomyosis. > >She came in and asked about Novasure, but I (along with ACOG) don't >think that she is a candidate for Novasure or other techniques of >ablation save resection or HTA, the latter with which I have no >experience . ACOG's recent bulletin says that no data exists regarding >ablation with abnormal uterii. > >Opinions are welcome, please. > >Garry > >-- >Garry E. Siegel, M.D. >Private Practice >Roswell, GA > -- art fougner, md "May The Wings of Liberty Never Lose a Feather." - Jack Burton Next message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Gyn: It's fun to be a gynecologist" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Ob: It's fun to be an obstetrican" In reply to: FRANCES WREN: "Re: Vulvoplasty" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Gyn: It's fun to be a gynecologist"

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