Re: fibroids and DHEAS...Help

From: Rafael Haciski (haciski@earthlink.net)
Thu May 22 21:50:36 2008


Not sure about the DHEA.

How about MRI guided Focused Ultrasound for the fibroid destruction?

--
Rafael Haciski  MD FACOG
Anchor Health Centers GYN
800 Goodlette Rd #360
239-643-8780 office
239-571-0292 cell
Naples, FL.

On May 22, 2008, at 7:03 PM, FRANCES WREN wrote:

> I had a patient with 16-18 week fibroids in to-day... > been looking after her for some time... > she is 44...been trying for years to get Pg in vitro etc etc.. > had had myomectomy in the past...maybe 4 years ago.. > then last year or 2006 can't remember hysteroscopic myomectomy..not > by me... > uterus again huge.. > considering uterine artery embolisation now... > rotten periods..pain excess flow needless to say.... > but does not at want to have hyst. > > she mentioned to me that one of the gyns she has seen has a small > note about DHEAS on his web-site...and she wonders re taking it.. > it makes no sense to me re fibroids..in that it is an > androgen..also some conversion to estrogen...so I cannot see how it > could help...and I am not aware of reading anything in the gynae > literature that advises it.. > only in the fountain of youth mags...and for adrenal insufficiency... > > anyone have any tips re its use...when and why etc,.... > I have no idea. > > thanks for any advice > frances wren MD FRCS (DHEAS ignorant...maybe I need some myself!!)





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