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Re: Optimal Treatment of Rectovaginal EndometriosisFrom: Ealgail@aol.comWed Feb 25 11:08:33 1998
In a message dated 98-02-25 09:06:03 EST, you write: << Since the operation, she has developed rectovaginal septum endometriosis with an upper vaginal nodule about 2 cms in diameter Should I now - do a bilateral laparoscopic oophorectomy and put her on HRT? - Resect the septum? Continue medical treatment?>> I had a similar case who developed a 2 cm nodule on right pelvic sidewall which was causing hydronephrosis. We treated with higher dose depo-provera (400 mg IM) and got complete regression of the nodule with resolution of the hydronephrosis. The suppression has been maintained despite low dose estrogen (0.625 of Ogen) and 400 mg of DMPA q 10-12 weeks for several years. Linda Linda Morrison-Boczar MD MBA FACOG Sarasota, FL -- ----
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