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Re: Gyn: menorrhaghia, bicornuate uterus, endometrial polyps From: Rafael Haciski (haciski@earthlink.net) Wed Apr 16 22:35:25 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DoctorJoe@aol.com: "Re: Would love to have your medical opinions on this" Previous message: Larry Glazerman: "Re: Would love to have your medical opinions on this" In reply to: Garry E. Siegel, M.D.: "Gyn: menorrhaghia, bicornuate uterus, endometrial polyps" Next in thread: Joe: "Re: Gyn: menorrhaghia, bicornuate uterus, endometrial polyps" If she is so inclined I would proceed with laparoscopic supracervical (or complete) hysterectomy I would also suggest BSO (primarily based on her age) -- Rafael Haciski MD FACOG Anchor Health Centers GYN 800 Goodlette Rd #360 239-643-8780 office 239-571-0292 cell Naples, FL. On Apr 16, 2008, at 10:45 PM, Garry E. Siegel, M.D. wrote: > 44 YO P2012, longstanding patient > > 1992--after initial pregnancy with missed Ab, found to have uterine > duplication on ultrasound. > 1992--after D and C, underwent hysteroscopy/laparoscopy with stage I > endo and bicornuate uterus > > Subsequently, had two term pregnancies delivered by sections (breech, > repeat). > > 2002--AUB and/or pain (can't remember) and desire for TL--H-scope > with 2 > cm. endometrial polyp in one cavity, LTL with stage I endo. > > Now, has recurrent menorrhagia, and had a 2 cm. endometrial polyp > removed transcervically in the office (easily seen through os) and > endo > biopsy benign. Saline sonogram shows a 2.5 cm. polyp in one cavity > (done after biopsy and polyp removal). > > Now, contemplating another H-scope, probably without lapscope. Also, > discussing hysterectomy and ablation for completeness. Her goal is > not > to have repetitive surgeries (oh, well) and to stop the menorrhagia. > > Would you: > > 1. H-scope alone, remove the polyp, and see what happens? > 2. Add ablation to #1? If so, hydrothermal seems to be the best > option > but ACOG says no data exists for ablations in mullerian abnormalities. > 3. Go to hysterectomy if desired? > 4. Other? > > Garry > > -- > Garry E. Siegel, M.D. > Private Practice > Roswell, GA Next message: DoctorJoe@aol.com: "Re: Would love to have your medical opinions on this" Previous message: Larry Glazerman: "Re: Would love to have your medical opinions on this" In reply to: Garry E. Siegel, M.D.: "Gyn: menorrhaghia, bicornuate uterus, endometrial polyps" Next in thread: Joe: "Re: Gyn: menorrhaghia, bicornuate uterus, endometrial polyps"

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