-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: ashermans syndrome From: Myer S. Bornstein (mborn@massmed.org) Sun Nov 30 07:55:36 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Fred Smythe: "? SPAM SCAM ?" Previous message: Geffrey H. Klein, MD: "Re: c/sec in 14 y/o" Maybe in reply to: shiraz suleman: "ashermans syndrome" >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 Let me tell a story. I had a patient that I saw three years after an abortion which had a post op infection. She had secondary amenorrhea. After a provera stimulation with no withdrawal bleeding, i considered ashermans syndrome and recomended a hystersalpingogram. The patient scheduled but did not keep the appointment. I next saw her four years later, at examination she had a 28 week pregnancy (via U/S since she did not have any menses). She had a h/o previous C/S and refused VBAC. At Section she had an accreta and required a Hysterectomy to stop the bleeding, She was to have a tubal anyway. So with this patient I would definitely offer he a tubal. Myer -- Myer S. Bornstein, M.D.,F.A.C.O.G. Chairman Department of Obstetrics and Gynecology Morton Hospital and Medical Center Taunton, MA 02780 U.S. Represenative Massachusetts OBGYNNET Next message: Fred Smythe: "? SPAM SCAM ?" Previous message: Geffrey H. Klein, MD: "Re: c/sec in 14 y/o" Maybe in reply to: shiraz suleman: "ashermans syndrome"

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 05:25:25 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.