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Re: PMB after ablationFrom: Joanne Bulley, MD (islesannie@gmail.com)Mon Apr 7 18:00:06 2008
I agree with Garry - whether someone is post ablation or just standard post menopausal - you can't *assume* that PMB etiology is "just" the hormone therapy. There is some level of obligation to prove that there is not hyperplaisa +/- atypia or endometrial cancer. And hopefully the practitioner who did the ablation did the biopsy to show that normal endometrium was being destryed. The endometrium /endometrial cavity has to be sampled with or without visualization. So - options include office biopsy / ultrasound / hysteroscopy with curettage. JOanne
At Mon, 7 Apr 2008, Garry E. Siegel, M.D. wrote:
>
-- Joanne Bulley, MD solo gyn Keene, NH
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