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Re: Optimal Treatment of Rectovaginal Endometriosis From: Myer S. Bornstein (mborn@massmed.org) Wed Feb 25 14:09:56 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joe Cutchin: "Re: Optimal Treatment of Rectovaginal Endometriosis" Previous message: AFPPLUS3@aol.com: "Re: Abnormal triple scree" Maybe in reply to: Dr Ron Jewell: "Optimal Treatment of Rectovaginal Endometriosis" Next in thread: Joe Cutchin: "Re: Optimal Treatment of Rectovaginal Endometriosis" I have had patients that had BSO along with the Hyst redevelop endometriosis on HRT. Confirmed at Laparoscopy. Cured with 6 months of withholding HRT. Now If there is significant endometriosis, I place them on progesterone Rx for 6 months the start HRT. Myer -----Original Message----- From: douglas krell <douglas.krell@nsionline.com> To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net> Date: February 25, 1998 13:29 Subject: Re: Optimal Treatment of Rectovaginal Endometriosis > >-----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 >>melt away. >>Dan > >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 > Next message: Joe Cutchin: "Re: Optimal Treatment of Rectovaginal Endometriosis" Previous message: AFPPLUS3@aol.com: "Re: Abnormal triple scree" Maybe in reply to: Dr Ron Jewell: "Optimal Treatment of Rectovaginal Endometriosis" Next in thread: Joe Cutchin: "Re: Optimal Treatment of Rectovaginal Endometriosis"

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