WOMENS-HEALTH Messages for March, 2008: Re: FIBROIDS: polyp and miscarriage

Re: FIBROIDS: polyp and miscarriage

From: anonymous@obgyn.net
Mon, 17 Mar 2008 20:35:39 -0500 (CDT)

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In reply to: M: "FIBROIDS: polyp and miscarriage"

At Mon, 17 Mar 2008, M wrote: >My suggestion is to have a suction curettage and remove the pregnancy once you and your physician ar sure the pregnancy is not proceeding. After the issue of the pregnancy is resolved a fluid ultra sound should be done. If the polyp is still present it should be removed using operative hysteroscopic techniques.

>I am currently having a confirmed miscarriage (it is as yet incomplete)
>at 9 weeks. On my second ultrasound (2 weeks after the first), not only
>did they find that the gestational sac had not grown in 2 weeks (it was
>3.4 mm), they also discovered a polyp measuring 8.4 mm right next to the
>gestational sac. I have only seen my GP regarding this and she has
>advised me that I do not need to have the polyp removed as she does not
>think it is the cause of the miscarriage. Would it be advisable in my
>situation to seek the second opinion of a specialist, or are polyps this
>small generally not a cause for alarm? Am not sure what I should do. I
>have not had a miscarriage before.

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Hysterectomy is not s msndstedf procedure for this condition. Yes there is an increased risk of endometrial cancer but I would suggest a thorough curettage and if the tissue is not atypical I would use megace for three months and then repeat the evaluation. I have treated many  women for this condition in this manner and have never been sorry.

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In reply to: M: "FIBROIDS: polyp and miscarriage"

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