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Re: Gyn: menorrhaghia, bicornuate uterus, endometrial polyps From: Frances Wren (fwren@shaw.ca) Thu Apr 17 11:46:32 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Frances Wren: "Re: Would love to have your medical opinions on this" Previous message: Joanne Bulley, MD: "Re: Would love to have your medical opinions on this" Maybe in reply to: Garry E. Siegel, M.D.: "Gyn: menorrhaghia, bicornuate uterus, endometrial polyps" vag hyst is what I would more than likely do. frances wren > ----- Original Message ----- From: Rafael Haciski To: Multiple recipients of list OB-GYN-L Sent: Wednesday, April 16, 2008 8:37 PM Subject: 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: Frances Wren: "Re: Would love to have your medical opinions on this" Previous message: Joanne Bulley, MD: "Re: Would love to have your medical opinions on this" Maybe in reply to: Garry E. Siegel, M.D.: "Gyn: menorrhaghia, bicornuate uterus, endometrial polyps"

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