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Re: PMB after ablation From: Garry E. Siegel, M.D. (garrys@mindspring.com) Tue Apr 8 10:08:28 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: R. Daniel Braun: "=?WINDOWS-1252?Q?Re:_Illinois_physicians_prof?= =?WINDOWS-1252?Q?iled_on_state’s_new_Web_site?In-Reply-To: <1207659819.47fb6d2b0bcd6@webmail.thehuffpeople.net>" Previous message: Dean Huffman .: "Illinois physicians profiled on =?iso-8859-1?b?c3RhdGWScw==?= new Web site" In reply to: Joanne Bulley, MD: "Re: PMB after ablation" Next in thread: Rafael Haciski: "Re: PMB after ablation" Reply: Rafael Haciski: "Re: PMB after ablation" There is more than one way to skin a cat, and this is a good discussion. I agree that a "negative" office biospy is not a complete evaluation, and that further investigation is warranted. My point is that a simple office biopsy IF diagnostic saves a hysteroscopy, that's all. Garry At Mon, 7 Apr 2008, Joanne Bulley, MD wrote: > >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: >> >>I agree that it needs explanation, and simply stopping the PremPro and >>seeing what happens isn't sufficient, even though the PremPro may be the >>cause. >> >>How about an attempt at an office biopsy? >> >>Garry >> >-- >Joanne Bulley, MD >solo gyn >Keene, NH > >Recovering from bulging L4-5 - getting better. > -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: R. Daniel Braun: "=?WINDOWS-1252?Q?Re:_Illinois_physicians_prof?= =?WINDOWS-1252?Q?iled_on_state’s_new_Web_site?In-Reply-To: <1207659819.47fb6d2b0bcd6@webmail.thehuffpeople.net>" Previous message: Dean Huffman .: "Illinois physicians profiled on =?iso-8859-1?b?c3RhdGWScw==?= new Web site" In reply to: Joanne Bulley, MD: "Re: PMB after ablation" Next in thread: Rafael Haciski: "Re: PMB after ablation" Reply: Rafael Haciski: "Re: PMB after ablation"

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