Re: Subtotal hysterectomy and HRT(Hormone replacement

From: 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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