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Re: GYNECOLOGIC: Enough Testing?

From: Dr. Herbert A. Goldfarb (anonymous@obgyn.net)
Fri, 13 Jun 2008 05:40:14 -0500 (CDT)


Message posted on Dr. Herbert A. Goldfarb behalf by: Hope Waltman, Fibroid and Women’s Health Forum Moderator

I believe you can be followed with Endovaginal ultrasounds. If the lining stays very thin, less than 5 mm I believe you would be considered safe. An endo biopsy should be done every few years just to be on the safe side. Even thin endometrium can develop endometrial cancer even though it is very rare.

Dr. Herbert A. Goldfarb New York Downtown Hospital, http://www.nohysterectomy.com

Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions. ** Private emails cannot be entertained due to time constraints; consequently, they will receive no response.

At Wed, 11 Jun 2008, Ruth wrote: >Dear Doctors:
>
>Thanks for having this forum. In 1998 after some uterine cells appeared
>on my pap smear, a D&C was done. The first diagnosis was atypical
>hyperplasia. I asked that the pathology be sent to a leading women's
>hospital and the pathologist there said it was prolonged estrogen effect
>which should be treated by high doses of Prometrium. I was 45, still
>having periods, and this was done. The tissue reverted back to normal.
>I have had an in office endometrial biopsy every year since then. At
>this years visit, my doctor said there is no longer any medical reason
>to do them. My question is, now that I am menopausal, how would I know
>if a problem would develop within the uterus if I don't have the
>endometrial biopsies? Since they biopsies have been normal for 10 years,
>is it time to stop doing them routinely? Thanks.




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