WOMENS-HEALTH Messages for January, 2008: Re: INFERTILITY: Endometrial Polyps

Re: INFERTILITY: Endometrial Polyps - D&C Necessary? (Continued)

From: D. Ashley Hill, M.D. (anonymous@obgyn.net)
Tue, 15 Jan 2008 22:59:05 -0600 (CST)

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In reply to: Dee: "INFERTILITY: Endometrial Polyps - D&C Necessary? (Continued)"

Although your polyp is small, it's possible that it is the cause of your abnormal bleeding. The lining of the uterus has a small surface area, and even small polyps can cause the symptoms you describe. Nobody is sure that removing them helps conception or prevents miscarriage, but there is some evidence that this is the case. Normally I would recommend removal. However, a D&C is NOT the correct procedure for removal. The best procedure is a hysteroscopic polypectomy. I don't know a nice way to say this, but if your doctor is not going to perform a hysteroscopy, please obtain a second opinion right away. A D&C is a "blind" procedure where the doctor basically scrapes the uterine lining, hoping to remove the polyp, which may or may not come off during the procedure. A hysteroscopy involves a small tube with a camera and light, that allows removal of the entire polyp under direct observation. Also, the anesthesia is usually very straigtforward. I am doing 3 of these tomorrow. Good luck, and best wishes.

Ashley Hill

At Tue, 15 Jan 2008, Dee wrote: >
>I should also note that I have never been pregnant and have never had a
>miscarriage or abortion. Also, during my periods I get very hot flashy,
>and have cold sweats when trying to sleep. Finally, I find it hard to
>believe that ONE polyp could be causing all of these problems......

-- D. Ashley Hill, MD Division Director, Dept. of Obstetrics and Gynecology Florida Hospital Orlando Medical Director Loch Haven Ob/Gyn Group 235 East Princeton Street, #200 Orlando, Florida 32804 http://www.lochhavenobgyn.com

Please understand that due to time constraints I am unable to answer any personal emails, therefore they will receive no response.

These comments are general educational comments and should not be construed as specific medical advice. The best person to answer your health care questions is your physician or other health care provider. Thank you very much.

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Previous message: D. Ashley Hill, M.D.: "Re: GENERAL: need doctor recommendation Sarasota/Bradenton, FL"
In reply to: Dee: "INFERTILITY: Endometrial Polyps - D&C Necessary? (Continued)"

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