Re: ashermans syndrome

From: Malcolm Griffiths (Malcolm@mgriff22.demon.co.uk)
Sat Nov 29 10:57:48 1997


In message <v03110700b0a33446342c@[204.170.70.92]>, Larry Glazerman <glazerman@enter.net> writes >>I have a 37 yr.old lady with ashermans.She has completed her
>>family.She developed her problem following a d/c for molar
>>pregnancy 2 years ago.
>>She is amenorroeic and does not want any treatment.
>>My question - Is it OK to leave her without treatment.What
>>are the risks of endometrial cancer going undetected?
>>Should I do a tubal ligation?
>>
>>--
>>Dr Shiraz Suleman
>>Consultant OB
>>Prince ALbert
>>Canada
>>suleman@sk.sympatico.ca
>
>I see no reason for treatment. Her risk of endometrial CA should be the
>same (theoretically) as anyone post endometrial ablation. To my knowledge
>this is small, and I'm not sure if it has ever been reported.
>
>If, on hysteroscopy, you can see the tubal ostia, I'd to a tubal ligation.
>If not, come to think of it, I'd probably do it also, just to be sure.
>

I'd offer lap ster even if I couldn't see tubal ostia. Those sprems are little devils they have a way of finding any way through! Malcolm Griffiths MD,MRCOG,MFFP,Cert.Mgmnt Obstetrician & Gynaecologist Luton & Dunstable Hosp.,UK. Tel: 01582-497459 (office) Fax: 01582-497376 01525-222849 (home) email: Malcolm@mgriff22.demon.co.uk http://www.obgyn.net/board/griffith.htm "CLINICAL FREEDOM IS THE LAST REFUGE OF THE CLINICALLY INCOMPETENT!" (Someone [1997])





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