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Re: Subtotal hysterectomy and HRT(Hormone replacementFrom: Bernard Cristalli (bcrist@club-internet.fr)Wed Aug 20 00:35:17 1997
Dr Savvas Savvas wrote: > > I operated a patient age 42, para III, some months ago.Intraoperative > diagnosis fibromatous uterus and endometriosis.Because of technical reasons > it was very difficult to do a total hysterectomy so I did a subtotal > hysterectomy(with adnexectomy.) > Now she is on HRT taking only estrogens.Is it enough or does she need a > preparation containing progesterone as well because of the presence of the > cervical stump?Is there a risk of malignancy for the remaining cervix due to > unopposed estrogen action? -- Estrogens only. But if you're anxious make a try. If there is a bleeding after an estrogen + progestin regime then carry on like that.-- Bernard Cristalli MD CNGOF AIHP - ACCA Paris - France http://www.obgyn.net/corresp/cristalli.htm
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