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Re: HYSTERECTOMY: Options?
From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Wed, 25 Jul 2007 22:46:14 -0500 (CDT)
Robin
You are stuck between the proverbial rock and hard place. You may do ok
with the new transdermal implant, Implanon, but it may be too low a
progesterone dose for you. Otherwise, if lupron will not do it, I am
afraid hysterectomy is the only recourse...Dr. von Almen
At Wed, 25 Jul 2007, Robin wrote:
>
>Hello....
>
>I have a history of Early Stage IV Endo, which was successfully excised
>by an Endometriosis Specialist in Atlanta. At the time of surgery
>(1998), it was suspected I also have Adenomyosis. I have taken many
>different OCPs and DepoProvera.
>
>I am currently on Yaz, which works very well. However, I have to break
>every three months because I start to spot and bleed. In just one day
>of stopping the Yaz, I am in excrutiating pain. It feels as if someone
>is inside of me wringing out my uterus as if it was a sopping wet rag.
>
>My surgeon doesn't want to do a Hyst unless there are not other options
>available as I am a high surgical risk. I had three abdominal surgeries
>for my pancreas, with the final surgery to remove my pancreas. I
>understand why he doesn't want to do surgery.
>
>Other than drugs like Lupron and DP, do you have any other suggestions
>for treating this? I will not do Lupron as I was on it for seven months
>prior to seeing the Endo Specialist. I developed Osteoporosis from the
>Lupron (even with being on addback therapy with the Lupron).
>
>Thank you in advance for any information and help you can provide.
>
>--
>Robin
>
--
William F. von Almen, II, MD, FACOG
Private Practice
New Orleans, La.
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