-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: Postmenopausal bleeding--**update** From: jay kulkin (jkulkin@mindspring.com) Sat Mar 29 21:29:15 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: dahmd: "Re: Stress and Pregnancy" Previous message: Garry E. Siegel, M.D.: "Stress and Pregnancy" This hysteroscopy, if it really needs to be done, can be easily, painlessly and inexpensively done in the office. -- Jay Kulkin MD At 10:14 PM 3/29/97 -0600, you wrote: >At Sat, 29 Mar 1997, rbraun@indyunix.iupui.edu wrote: >> >>I don't understand the problem. You have sampled the endometrium >>adequately by doing a biopsy and getting back proliferative endometrium. I >>think to do anything further would needlessly put this lady at risk >>surgical and anesthetic complications. >> > >>R. Daniel Braun, MD FACOG > >Dan: > >I certainly do not have much excitement about taking her to the OR, even >for something as minor as a D&C/hysteroscopy. > >However, she has unexplained post menopausal bleeding, and multiple risk >factors for endometrial cancer. Furthermore, she had proliferative, not >inactive endometrium. She also is worried and did not accept the option >of saline sonography (to rule out a polyp and lend further support to >not operating). Lastly, there are examples, however few, of finding >lesions such as complex hyperplasia in the absence of a thickened >endometrium. We all know the biopsy is reasonably representative of the >endometrium, but that exceptions occur. > >Thus, I was willing, and offered/suggested to her to not go to the OR, >but she wanted as much certainty as available. > >Thanks for your thoughts. > >Garry > >-- >Garry E. Siegel, M.D., FACOG >Private Practice >Roswell, Ga. > Next message: dahmd: "Re: Stress and Pregnancy" Previous message: Garry E. Siegel, M.D.: "Stress and Pregnancy"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Mon Nov 2 05:21:26 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.