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GYN: GnRH analogues (was Fibroids and a Pelvic Kidney)From: Malcolm Griffiths (Malcolm@mgriff22.demon.co.uk)Thu Feb 26 14:23:21 1998
In message <199802261902.NAA15156@talk.obgyn.net>, "Marco A. Pelosi, III, MD" <marcop@tao.agoron.com> writes > >Administering GnRH agonists to shrink an 18+ week uterus is not likely >to reduce its diameter very much and, in my humble view, is a waste of >time. The only place for this adjunct is for the creation of temporary >amenorrhea in anemic patients while hemoglobin stores are increased. > I'm interested in what you say about GNRH analogues. I have been very disapppointed, though I occasionally have the impression that the transverse diameter is reduced sometimes but rarely the length of the uterus. It so happens that my (UK-NHS) waiting time for hyst has been about 3 months (now upto six) and it seemed simple to give 3 cycles of ZOladex whilst waiting. Anyone got any other positive or negative views on analogues? Malcolm Griffiths MD,MRCOG,MFFP,Cert.Mgmnt Obstetrician & Gynaecologist Luton & Dunstable Hosp.,UK. Tel: 01582-497459 (office) Fax: 01582-497376 01525-222849 (home) email: Malcolm@mgriff22.demon.co.uk http://www.obgyn.net/board/griffith.htm "CLINICAL FREEDOM IS THE LAST REFUGE OF THE CLINICALLY INCOMPETENT!" (Someone [1997])
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