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Re: GnRH analogues, Fibroid Reduction and MorcellationFrom: ENDODOK (ENDODOK@aol.com)Sat Feb 28 08:58:08 1998
Doug: I too have seen marked variability of GnRH agonists in fibroid reduction, and I wish I understood "why"?? I recently had a 25 year old present with 24 week size fibroids. She was recently married and wished fertility preservation. The first dose of Lupron reduced her uterus to 16 week size in one month, the second to 8 week size when I did her myomectomy( removed 11 fibroids, the largest residual fibroid was 4 cm!!!) Initial size was documented by CT scan. Re: morcellation , have performed 10 laparoscopic supracervical hysterectomies using the FemRx morcellator. This is a terrific instrument for removal of the fundus, irrespective of the size. Patient recovery is dramatic... discharge in less than 24 hours (most patients), half a dozen pain pills the next two days, and resumption most activties in less than a week ( blood loss almost nil or zero) J.Glenn Bradley MD
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