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Re: Progestagen regime for endometrial hyperplasia From: Bernard Cristalli (bcrist@club-internet.fr) Tue Aug 26 00:47:30 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Milko Sirakov: "Interesting case" Previous message: Bernard Cristalli: "Re: endometrial ablation details" Maybe in reply to: Dr Ron Jewell: "Progestagen regime for endometrial hyperplasia" Next in thread: Hugo D. Ribot Jr.: "Re: Progestagen regime for endometrial hyperplasia" Dr Ron Jewell wrote: > > I have a 54 year old very obese lady who presented with abnormal > perimenopausal bleeding. > > She has a 12 week size fibroid uterus and curettings show complex > endometrial hyperplasia without atypia. > > I would like to perform TAH/BSO. She is very resistant to the idea. I > have placed her on medroxyprogesterone acetate 30 mgs daily for 3 months > and I will resample her endometrium at this point. > > As she is obese with a relative oestrogen excess, will she need to be on > progestagens life long? Any suggestions re regimes. > -- You're right *the* treatment is hysterectomy. if not, long life progestin with bleeding and cancer risks. -- Bernard Cristalli MD CNGOF AIHP - ACCA Paris - France http://www.obgyn.net/corresp/cristalli.htm Next message: Milko Sirakov: "Interesting case" Previous message: Bernard Cristalli: "Re: endometrial ablation details" Maybe in reply to: Dr Ron Jewell: "Progestagen regime for endometrial hyperplasia" Next in thread: Hugo D. Ribot Jr.: "Re: Progestagen regime for endometrial hyperplasia"

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