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Re: Optimal Treatment of Rectovaginal Endometriosis From: Carlos Alberto Porta (caporta@interactive.com.ar) Thu Feb 26 06:55:43 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Carlos Alberto Porta: "Re: Optimal Treatment of Rectovaginal Endometriosis" Previous message: R. Daniel Braun, M.D.: "Re: GYN: Fibroids and a Pelvic Kidney" Maybe in reply to: Dr Ron Jewell: "Optimal Treatment of Rectovaginal Endometriosis" Next in thread: Carlos Alberto Porta: "Re: Optimal Treatment of Rectovaginal Endometriosis" At 07:48 25/02/98 -0600, you wrote: >I have a 44 year old lady who had a hysterectomy for endometriosis 44 years old! It's time to stop any pelvic pain anyway, but... >She responded very well to gnrh >agonists for 6 months. it's absolutely hormone-dependant and... >Should I now - do a bilateral laparoscopic oophorectomy ooforectomy is the only way to stop the endometriosis development at this age, but... y do prefer an open ooforectomy as the only way to clamp the infundibulopelvic ligament without problems. However... >and put her on >HRT? Y would never put her on HRT afterwords because she will recover the endometriosis soon. >Or - Resect the septum? It is very complicated and has the posibility of a fistula transformating the vagina in a nice cloaca. >Or - Continue medical treatment? Till the patient accept the ooforectomy. Hope it could be useful. It is my hbumble opinion directed by the first sense I usually consult: THE COMMON SENSE. Regards. Carlos A. Porta MD Carlos Alberto Porta Doctor en Medicina caporta@interactive.com.ar http://members.tripod.com/~gineco/index.html http://members.tripod.com/~medmoron/index.html ************************************************** "El amor desinteresado es el mejor motor para una "buena comunicacion!! ************************************************** Next message: Carlos Alberto Porta: "Re: Optimal Treatment of Rectovaginal Endometriosis" Previous message: R. Daniel Braun, M.D.: "Re: GYN: Fibroids and a Pelvic Kidney" Maybe in reply to: Dr Ron Jewell: "Optimal Treatment of Rectovaginal Endometriosis" Next in thread: Carlos Alberto Porta: "Re: Optimal Treatment of Rectovaginal Endometriosis"

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