|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: Optimal Treatment of Rectovaginal EndometriosisFrom: douglas krell (douglas.krell@nsionline.com)Wed Feb 25 11:14:22 1998
-----Original Message----- From: R. Daniel Braun, M.D. <rbraun@iunet.iupui.edu> To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net> Date: Wednesday, February 25, 1998 11:00 AM Subject: Re: Optimal Treatment of Rectovaginal Endometriosis
>Take her ovaries out, put her on conjugated estrogens, and watch her nodule Dan's approach might be worth a try, but in my experience, oopherectomy +ERT does not make nodules of endometriosis "melt away". We've had to go back to surgery with at least a handful of women who were operated on for stage three or 4 disease but had significant (from op reports) disease left behind in the culdesac when they had their original TAH BSO. These women reported persistant dyspareunia and dyschezia and even withdrawing HRT did not relieve their symptoms. They were not improved until the disease was debulked. After that they did fine with ERT. If you must take the woman to surgery, don't assume that removing her ovaries will make the rectovaginal disease go away. Doug Krell MD FACOG
|
|
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: Wed Dec 2 05:23:21 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.