Re: symptoms of PCOS ATTN DR SAM
From: =?iso-8859-2?q?Zalányi Sámuel ?= (anonymous@obgyn.net)
Fri, 8 Nov 2002 08:25:11 -0800
Hi Shelley,
Medical prudence dictates the following:
First identify the cause of the bleeding (i.e. by curettage or endometrial biopsy). If there is no malignancy, medical treatment comes first, surgical next.
The medical options include hormonal means to build up the endometrium. There are medications that decrease the capillary fragility thus the amount of bleeding.
If one resorts to surgery, the point is to remove as little as possible and as much as necessary. As the uterus itself is not sick, you should remove the endometrium only. For this endometrial ablation is one of the methods.
For your info
Sam
> Dr. Sam,
>
> Assuming Maria is past childbearing years or definitely no longer wanting
> to have children, would it be possible another option would be for her to
> have an endometrial ablation or uterine cauterization to stop these
> excessive bleedings? I know it helped my mom (who had this heavy bleeding
> the final years before menopause). From my understanding, this way, Maria
> would still be "in tact" physically and such proceedures have faster
> recovery and lesser chance of complications. Of course, as you mentioned,
> she should have further testing to discover if it could be controlled
> hormonally and thus less invasively.
>
> Thank you for your input!
>
> Shelley
> ==============================
> Hi Maria,
>
> I don't know who has offered you hysterectomy and for what reason (most
> probably for the uncontrollable bleeding), but it is no cure for PCOS. PCOS
> is a metabolic disease (insulin resistance being at the root, hence the
> high insulin levels and the furhter symptoms). For the bleeding you should
> have a curettage first and if the histology is OK you can control it
> hormonally. For the metabolic part insulin sensitizers are reommended.
> For your info
>
> Sam (Ob/Gyn,RE)
>
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