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Re: Optimal Treatment of Rectovaginal EndometriosisFrom: Carlos Alberto Porta (caporta@interactive.com.ar)Thu Feb 26 06:56:15 1998
At 07:48 25/02/98 -0600, you wrote: >I have a 44 year old lady who had a hysterectomy for endometriosis >related symptoms. Since the operation, she has developed rectovaginal >septum endometriosis with an upper vaginal nodule about 2 cms in >diameter which has biopsied as endometriosis and causes pain and >dyspareunia. > >The rectal mucosa is not involved. She responded very well to gnrh >agonists for 6 months. > >Should I now - do a bilateral laparoscopic oophorectomy and put her on >HRT? > >Or - Resect the septum? > >Or - Continue medical treatment? > >-- >Ron Jewell FRACOG >PO Box 507 >Bunbury >Western Australia > --
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