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Re: anovulationFrom: Geffrey H. Klein, MD (gklein@bcm.tmc.edu)Sun Mar 22 21:49:54 1998
On 3/22/98, Robert J. Woolley wrote this: Q> Similarly, Q> if we knew that she was truly anovulatory, what are the chances that Qthis is Q> going to change given an extra 4 months? If they are as small as I Qsuspect, then Q> waiting does nothing useful except make me feel like I'm following the Qcookbook Q> correctly. Right.. Same as the habitual abortion argument. Affected couples ask, "Why are they going to make me have a third consecutive miscarriage before ordering any tests?" The answer is that the yield from diagnostic evaluation is higher in that patient population. Two consecutive losses may occur only because of chance. Implimentation of these guidelines is thorny when there is a patient in front of you instead of a multiple choice question. ---------------------------------- Geffrey H. Klein, MD ---------------------------------- gklein@bcm.tmc.edu -- ---------------------------------- List-owner OB-GYN-L
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